License holder summary

Northern Indiana Dermatology and Skin Surgery Center, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Northern Indiana Dermatology and Skin Surgery Center, PC is 386 Devon Rd., Valparaiso IN 46383. This licensed professional license is current. The license was granted 11/05/2004 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Northern Indiana Dermatology and Skin Surgery Center, PC
Medical Licensing Board - Medical Corporation
License number
50004660A
Date granted
11/05/2004
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
386 Devon Rd., Valparaiso IN 46383
indianalicensing.org
ID 24834925
LAST UPDATED 2024-04-24 10:03:53 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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