Indiana
Professional Licensing Agency
Lake Pediatrics P.C.
Medical Licensing Board - Medical Corporation
License number
50005045A
Date granted
12/03/2008
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3011 W. Smokey Row Road, Bargersville IN 46106
indianalicensing.org
ID 24823668
LAST UPDATED 2026-03-23 02:54:26 UTC
LAST UPDATED 2026-03-23 02:54:26 UTC
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