License holder summary

NORTHERN INDIANA FAMILY is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHERN INDIANA FAMILY is PHYSICIANS P C, 3610 BROOKLYN AVENUE, FORT WAYNE IN 46809. This licensed professional license is not current. The license was granted 12/04/1996 and expired on 01/31/2000.

Indiana

Professional Licensing Agency

NORTHERN INDIANA FAMILY
Medical Licensing Board - Medical Corporation
License number
50003894A
Date granted
12/04/1996
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
PHYSICIANS P C, 3610 BROOKLYN AVENUE, FORT WAYNE IN 46809
indianalicensing.org
ID 24826837
LAST UPDATED 2024-03-16 01:23:50 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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