License holder summary

Northeast Medical Associates, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Northeast Medical Associates, PC is 3124 E STATE BLVD SUITE 5A, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 07/20/2000 and expired on 01/31/2014.

Indiana

Professional Licensing Agency

Northeast Medical Associates, PC
Medical Licensing Board - Medical Corporation
License number
50004246A
Date granted
07/20/2000
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3124 E STATE BLVD SUITE 5A, Fort Wayne IN 46805
indianalicensing.org
ID 24826822
LAST UPDATED 2024-05-04 19:14:22 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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