License holder summary

NORTHWEST FAMILY PHYS is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHWEST FAMILY PHYS is 3400 LAFAYETTE ROAD, INDIANAPOLIS IN 46222. This licensed professional license is not current. The license was granted 12/08/1971 and expired on 01/31/1994.

Indiana

Professional Licensing Agency

NORTHWEST FAMILY PHYS
Medical Licensing Board - Medical Corporation
License number
50000394A
Date granted
12/08/1971
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3400 LAFAYETTE ROAD, INDIANAPOLIS IN 46222
indianalicensing.org
ID 24829034
LAST UPDATED 2024-03-25 09:18:56 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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