Indiana
Professional Licensing Agency
LAKE COUNTY EAR NOSE
Medical Licensing Board - Medical Corporation
License number
50002128A
Date granted
08/28/1981
Date expires
12/31/1981
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
504 BROADWAY, SUITE 828, GARY IN IN 46409
indianalicensing.org
ID 24827314
LAST UPDATED 2026-03-28 19:30:41 UTC
LAST UPDATED 2026-03-28 19:30:41 UTC
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