License holder summary

MISHAWAKA ORTHOPEDICS AND is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for MISHAWAKA ORTHOPEDICS AND is SPORTS MEDICINE P C, 270 EAST DAY ROAD, MISHAWAKA IN 46545. This licensed professional license is current. The license was granted 01/30/1997 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

MISHAWAKA ORTHOPEDICS AND
Medical Licensing Board - Medical Corporation
License number
50003916A
Date granted
01/30/1997
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
SPORTS MEDICINE P C, 270 EAST DAY ROAD, MISHAWAKA IN 46545
indianalicensing.org
ID 24831409
LAST UPDATED 2024-04-26 06:23:58 UTC

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