License holder summary

NORTHWEST INDIANA SPINAL is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for NORTHWEST INDIANA SPINAL is SURGERY P C, 101 EAST 89TH AVENUE, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 01/05/1987 and expired on 01/31/1996.

Indiana

Professional Licensing Agency

NORTHWEST INDIANA SPINAL
Medical Licensing Board - Medical Corporation
License number
50002921A
Date granted
01/05/1987
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
SURGERY P C, 101 EAST 89TH AVENUE, MERRILLVILLE IN 46410
indianalicensing.org
ID 24831045
LAST UPDATED 2024-02-12 21:03:14 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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