Indiana
Professional Licensing Agency
NORTHEAST UROLOGY PC
Medical Licensing Board - Medical Corporation
License number
50000112A
Date granted
07/24/1969
Date expires
01/31/1990
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
527 WEST BERRY STREET, FORT WAYNE IN 46802
indianalicensing.org
ID 24826832
LAST UPDATED 2024-03-20 14:18:53 UTC
LAST UPDATED 2024-03-20 14:18:53 UTC
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