Indiana
Professional Licensing Agency
Medical Group of Fort Wayne, PC
Medical Licensing Board - Medical Corporation
License number
50003075A
Date granted
05/02/1988
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
7836 WEST JEFFRSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 24826785
LAST UPDATED 2024-04-11 18:14:56 UTC
LAST UPDATED 2024-04-11 18:14:56 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.