License holder summary

LIFE SERVICE PROFESSIONAL is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for LIFE SERVICE PROFESSIONAL is CORPORATION, 1015 SHELBY STREET, GARY IN 46403. This licensed professional license is not current. The license was granted 09/30/1988 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

LIFE SERVICE PROFESSIONAL
Medical Licensing Board - Medical Corporation
License number
50003096A
Date granted
09/30/1988
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
CORPORATION, 1015 SHELBY STREET, GARY IN 46403
indianalicensing.org
ID 24827329
LAST UPDATED 2024-04-21 16:47:31 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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