License holder summary

NORTHEAST IND GENETIC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHEAST IND GENETIC is COUNSELING CENTER P C, 3124 E STATE BOULEVARD #10, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 01/30/1986 and expired on 01/31/1994.

Indiana

Professional Licensing Agency

NORTHEAST IND GENETIC
Medical Licensing Board - Medical Corporation
License number
50002792A
Date granted
01/30/1986
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
COUNSELING CENTER P C, 3124 E STATE BOULEVARD #10, FORT WAYNE IN 46805
indianalicensing.org
ID 24826815
LAST UPDATED 2024-03-14 05:55:36 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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