Indiana
Professional Licensing Agency
Muncie Family Practice, P.C.
Medical Licensing Board - Medical Corporation
License number
50003923A
Date granted
01/21/1997
Date expires
01/31/2008
Class
Medical Licensing Board - Medical Corporation
Status
Expired Non-Renewable
Address
110 NORTH TILLOTSON AVENUE, MUNCIE IN 47304
indianalicensing.org
ID 24831782
LAST UPDATED 2024-04-01 02:13:35 UTC
LAST UPDATED 2024-04-01 02:13:35 UTC
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