Indiana
Professional Licensing Agency
NORTHEAST INDIANA UROLOGY P C
Medical Licensing Board - Medical Corporation
License number
50003138A
Date granted
06/23/1989
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
JERRI, P O BOX 2263, FORT WAYNE IN 46801
indianalicensing.org
ID 24826834
LAST UPDATED 2024-02-25 19:29:31 UTC
LAST UPDATED 2024-02-25 19:29:31 UTC
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