Indiana
Professional Licensing Agency
LAKE BREAST CLINIC &
Medical Licensing Board - Medical Corporation
License number
50002655A
Date granted
02/27/1985
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
CHAPEL CENTRE, 7891 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 24830961
LAST UPDATED 2026-06-23 22:34:12 UTC
LAST UPDATED 2026-06-23 22:34:12 UTC
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