License holder summary

NORTHERN INDIANA is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHERN INDIANA is PAIN MANAGEMENT P C, 1513 EAST JACKSON BOULEVARD, ELKHART IN 46516. This licensed professional license is not current. The license was granted 03/08/1996 and expired on 01/31/2000.

Indiana

Professional Licensing Agency

NORTHERN INDIANA
Medical Licensing Board - Medical Corporation
License number
50003782A
Date granted
03/08/1996
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
PAIN MANAGEMENT P C, 1513 EAST JACKSON BOULEVARD, ELKHART IN 46516
indianalicensing.org
ID 24825678
LAST UPDATED 2024-03-30 11:11:49 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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