Indiana
Professional Licensing Agency
Midwest Child & Adolescent Specialty Group, PC
Medical Licensing Board - Medical Corporation
License number
50004675A
Date granted
02/23/2005
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3903 South 7th Street, Ste 1C, Terre Haute IN 47802
indianalicensing.org
ID 24834544
LAST UPDATED 2024-02-16 10:43:18 UTC
LAST UPDATED 2024-02-16 10:43:18 UTC
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