License holder summary

MAPLE CITY FAMILY PRAC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for MAPLE CITY FAMILY PRAC is 103 W 18TH STREET, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 08/27/1970 and expired on 12/31/1982.

Indiana

Professional Licensing Agency

MAPLE CITY FAMILY PRAC
Medical Licensing Board - Medical Corporation
License number
50000217A
Date granted
08/27/1970
Date expires
12/31/1982
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
103 W 18TH STREET, LAPORTE IN 46350
indianalicensing.org
ID 24829977
LAST UPDATED 2026-05-22 17:54:42 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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