Indiana
Professional Licensing Agency
Moon Bay Anesthesia, P.C.
Medical Licensing Board - Medical Corporation
License number
50004397A
Date granted
02/08/2002
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1426 W. 31st Street, Jasper IN 47546
indianalicensing.org
ID 24829500
LAST UPDATED 2024-03-14 15:21:54 UTC
LAST UPDATED 2024-03-14 15:21:54 UTC
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