License holder summary

MICHIANA SPINE SPORTS & is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for MICHIANA SPINE SPORTS & is OCCUPATIONAL REHAB PC, 720 EAST CEDAR STREET STE 180, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 06/29/1998 and expired on 01/31/2000.

Indiana

Professional Licensing Agency

MICHIANA SPINE SPORTS &
Medical Licensing Board - Medical Corporation
License number
50004061A
Date granted
06/29/1998
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
OCCUPATIONAL REHAB PC, 720 EAST CEDAR STREET STE 180, SOUTH BEND IN 46617
indianalicensing.org
ID 24834123
LAST UPDATED 2026-04-09 14:54:40 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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