Indiana
Professional Licensing Agency
LAKESIDE ANESTHESIA
Medical Licensing Board - Medical Corporation
License number
50004119A
Date granted
03/04/1999
Date expires
01/31/2002
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
PROFESSIONALS P C, 17580 NITTANY COURT, GRANGER IN 46530
indianalicensing.org
ID 24827533
LAST UPDATED 2024-03-18 11:53:38 UTC
LAST UPDATED 2024-03-18 11:53:38 UTC
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