Indiana
Professional Licensing Agency
LAFAYETTE FAMILY PHYSICIANS
Medical Licensing Board - Medical Corporation
License number
50002386A
Date granted
11/24/1982
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2800 FERRY STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 24830106
LAST UPDATED 2026-04-13 15:11:58 UTC
LAST UPDATED 2026-04-13 15:11:58 UTC
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