License holder summary

JEFFERSON CO EMER PHYS is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for JEFFERSON CO EMER PHYS is 722 WEST MAIN STREET, MADISON IN 47250. This licensed professional license is not current. The license was granted 08/21/1975 and expired on 01/31/2000.

Indiana

Professional Licensing Agency

JEFFERSON CO EMER PHYS
Medical Licensing Board - Medical Corporation
License number
50000957A
Date granted
08/21/1975
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
722 WEST MAIN STREET, MADISON IN 47250
indianalicensing.org
ID 24830483
LAST UPDATED 2024-05-15 15:26:38 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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