License holder summary

NORTHEAST INDIANA COLON RECTAL is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHEAST INDIANA COLON RECTAL is SURGEONS P C, 7230 ENGLE ROAD STE 230, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 02/03/1998 and expired on 01/31/2010.

Indiana

Professional Licensing Agency

NORTHEAST INDIANA COLON RECTAL
Medical Licensing Board - Medical Corporation
License number
50004032A
Date granted
02/03/1998
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
SURGEONS P C, 7230 ENGLE ROAD STE 230, FORT WAYNE IN 46804
indianalicensing.org
ID 24826818
LAST UPDATED 2026-05-26 02:02:03 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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