License holder summary

LAKE FRONT MEDICAL & is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for LAKE FRONT MEDICAL & is AMBULATORY CARE CENTER P C, 4619 EAST MELTON ROAD, GARY IN 46403. This licensed professional license is not current. The license was granted 05/07/1985 and expired on 01/31/1992.

Indiana

Professional Licensing Agency

LAKE FRONT MEDICAL &
Medical Licensing Board - Medical Corporation
License number
50002686A
Date granted
05/07/1985
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
AMBULATORY CARE CENTER P C, 4619 EAST MELTON ROAD, GARY IN 46403
indianalicensing.org
ID 24827317
LAST UPDATED 2024-03-26 21:45:26 UTC

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