Indiana
Professional Licensing Agency
JOSE M LARDIZABAL, MD, INC
Medical Licensing Board - Medical Corporation
License number
50000535A
Date granted
07/26/1972
Date expires
06/30/1973
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
55 NORTH FRANKLIN, BLOOMFIELD IN 47424
indianalicensing.org
ID 24823877
LAST UPDATED 2026-06-04 00:37:29 UTC
LAST UPDATED 2026-06-04 00:37:29 UTC
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