Indiana
Professional Licensing Agency
M A CACDAC MD P S C
Medical Licensing Board - Medical Corporation
License number
50001139A
Date granted
12/01/1976
Date expires
12/31/1981
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
420 HOSPITAL LANE, TERRE HAUTE IN 47802
indianalicensing.org
ID 24834527
LAST UPDATED 2024-03-29 21:52:31 UTC
LAST UPDATED 2024-03-29 21:52:31 UTC
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