License holder summary

NORTHWEST INDIANA MOOD is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHWEST INDIANA MOOD is CLINIC P C, 2715 DUFFY LANE, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 06/11/1990 and expired on 01/31/1992.

Indiana

Professional Licensing Agency

NORTHWEST INDIANA MOOD
Medical Licensing Board - Medical Corporation
License number
50003255A
Date granted
06/11/1990
Date expires
01/31/1992
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
CLINIC P C, 2715 DUFFY LANE, MICHIGAN CITY IN 46360
indianalicensing.org
ID 24831251
LAST UPDATED 2024-03-13 21:02:41 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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