License holder summary

NORTH SOUTHLAKE ANESTHESIA is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTH SOUTHLAKE ANESTHESIA is ASSOCIATES INC METHODIST HOSP OF GARY, SOUTHLAKE 8701 BROADWAY, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 04/25/1983 and expired on 12/31/1983.

Indiana

Professional Licensing Agency

NORTH SOUTHLAKE ANESTHESIA
Medical Licensing Board - Medical Corporation
License number
50002441A
Date granted
04/25/1983
Date expires
12/31/1983
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
ASSOCIATES INC METHODIST HOSP OF GARY, SOUTHLAKE 8701 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 24831033
LAST UPDATED 2024-03-04 12:06:07 UTC

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