License holder summary

NORTHEAST PODIATRY INC is a Podiatric Medicine Board - Podiatric Corporation licensed to practice in Indiana. The address on file for NORTHEAST PODIATRY INC is 3217 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 12/07/1979 and expired on 12/31/1980.

Indiana

Professional Licensing Agency

NORTHEAST PODIATRY INC
Podiatric Medicine Board - Podiatric Corporation
License number
52000019A
Date granted
12/07/1979
Date expires
12/31/1980
Class
Podiatric Medicine Board - Podiatric Corporation
Status
Expired
Address
3217 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24920170
LAST UPDATED 2024-03-02 14:59:08 UTC

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