Indiana
Professional Licensing Agency
Kota Medical, P.C.
Medical Licensing Board - Medical Corporation
License number
50005033A
Date granted
08/12/2008
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
Portage Community Hosp/Medical Annex, 3630 Willowcreek Road, Portage IN 46368
indianalicensing.org
ID 24833077
LAST UPDATED 2024-05-10 11:39:59 UTC
LAST UPDATED 2024-05-10 11:39:59 UTC
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