Indiana
Professional Licensing Agency
NORTHSIDE PEDIATRIC
Medical Licensing Board - Medical Corporation
License number
50003601A
Date granted
04/07/1994
Date expires
01/31/2002
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
ASSOCIATES P C, 3162 NORTH NATIONAL ROAD, COLUMBUS IN 47201
indianalicensing.org
ID 24824955
LAST UPDATED 2026-06-07 06:03:44 UTC
LAST UPDATED 2026-06-07 06:03:44 UTC
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