License holder summary

Lake Medical Specialists, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Lake Medical Specialists, PC is POST OFFICE BOX 400, PLYMOUTH IN 46563. This licensed professional license is not current. The license was granted 09/05/1996 and expired on 01/31/2010.

Indiana

Professional Licensing Agency

Lake Medical Specialists, PC
Medical Licensing Board - Medical Corporation
License number
50003869A
Date granted
09/05/1996
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired Non-Renewable
Address
POST OFFICE BOX 400, PLYMOUTH IN 46563
indianalicensing.org
ID 24833054
LAST UPDATED 2024-04-05 20:15:52 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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