License holder summary

Northern Indiana Anesthesia Services PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Northern Indiana Anesthesia Services PC is 1513 East Jackson Blvd, Elkhart IN 46516. This licensed professional license is current. The license was granted 07/31/1996 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Northern Indiana Anesthesia Services PC
Medical Licensing Board - Medical Corporation
License number
50003863A
Date granted
07/31/1996
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1513 East Jackson Blvd, Elkhart IN 46516
indianalicensing.org
ID 24825715
LAST UPDATED 2024-04-16 00:38:51 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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