Indiana
Professional Licensing Agency
LAPORTE FAMILY PRACTICE
Medical Licensing Board - Medical Corporation
License number
50000363A
Date granted
10/12/1971
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1300 STATE STREET, LAPORTE IN 46350
indianalicensing.org
ID 24829950
LAST UPDATED 2026-05-14 18:07:09 UTC
LAST UPDATED 2026-05-14 18:07:09 UTC
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