License holder summary

NORTHERN IND EMERGENCY PHYS is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHERN IND EMERGENCY PHYS is 60700 MYRTLE ROAD, SOUTH BEND IN 46614. This licensed professional license is not current. The license was granted 08/23/1984 and expired on 01/31/1992.

Indiana

Professional Licensing Agency

NORTHERN IND EMERGENCY PHYS
Medical Licensing Board - Medical Corporation
License number
50002446A
Date granted
08/23/1984
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
60700 MYRTLE ROAD, SOUTH BEND IN 46614
indianalicensing.org
ID 24834129
LAST UPDATED 2026-05-14 11:08:22 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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