Indiana
Professional Licensing Agency
NEUROLOGY AND PAIN MANAGEMENT
Medical Licensing Board - Medical Corporation
License number
50004147A
Date granted
06/07/1999
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2802 MARINE STREET, SOUTH BEND IN 46614
indianalicensing.org
ID 24834120
LAST UPDATED 2024-04-18 19:40:12 UTC
LAST UPDATED 2024-04-18 19:40:12 UTC
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