Indiana
Professional Licensing Agency
Northern Indiana Medical Consultants, PC
Medical Licensing Board - Medical Corporation
License number
50005155A
Date granted
09/28/2011
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
909 West Maumee Street, Suite E, Angola IN 46703
indianalicensing.org
ID 24823535
LAST UPDATED 2024-03-27 20:43:51 UTC
LAST UPDATED 2024-03-27 20:43:51 UTC
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