Indiana
Professional Licensing Agency
MEDICAL GROUP OF PORTAGE
Medical Licensing Board - Medical Corporation
License number
50002811A
Date granted
03/27/1986
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
6040 LUTE ROAD, PORTAGE IN 46368
indianalicensing.org
ID 24833102
LAST UPDATED 2026-08-18 16:01:35 UTC
LAST UPDATED 2026-08-18 16:01:35 UTC
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