License holder summary

Northeast Ophthalmology, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Northeast Ophthalmology, PC is 3301 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is current. The license was granted 12/20/1990 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Northeast Ophthalmology, PC
Medical Licensing Board - Medical Corporation
License number
50003294A
Date granted
12/20/1990
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
3301 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24826826
LAST UPDATED 2026-05-31 13:51:33 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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