License holder summary

Michiana Internal Medicine, P.C. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Michiana Internal Medicine, P.C. is 625 E. Bristol Street, Suite B, Elkhart IN 46514. This licensed professional license is current. The license was granted 04/03/2007 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Michiana Internal Medicine, P.C.
Medical Licensing Board - Medical Corporation
License number
50004928A
Date granted
04/03/2007
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
625 E. Bristol Street, Suite B, Elkhart IN 46514
indianalicensing.org
ID 24825673
LAST UPDATED 2024-04-16 18:16:49 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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