Indiana
Professional Licensing Agency
JLR Family Practice, P.C.
Medical Licensing Board - Medical Corporation
License number
50004702A
Date granted
06/07/2005
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
721 West 13th Street, Jasper IN 47546
indianalicensing.org
ID 24829488
LAST UPDATED 2024-02-23 15:01:22 UTC
LAST UPDATED 2024-02-23 15:01:22 UTC
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