Indiana
Professional Licensing Agency
Lake Porter Cardiovascular, P.C.
Medical Licensing Board - Medical Corporation
License number
50000940A
Date granted
05/28/1975
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
8687 CONNECTICUT ST BLDG 3, MERRILLVILLE IN 46410
indianalicensing.org
ID 24830966
LAST UPDATED 2026-04-19 05:26:21 UTC
LAST UPDATED 2026-04-19 05:26:21 UTC
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