Indiana
Professional Licensing Agency
Mary Ann Chavez, D.O., P.C.
Medical Licensing Board - Medical Corporation
License number
50005017A
Date granted
05/27/2008
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
P.O. Box 450, 222 W. Beech Street, Sullivan IN 47882
indianalicensing.org
ID 24834331
LAST UPDATED 2024-03-10 07:01:06 UTC
LAST UPDATED 2024-03-10 07:01:06 UTC
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