Indiana
Professional Licensing Agency
Northwest Occupational Health, PC
Medical Licensing Board - Medical Corporation
License number
50004560A
Date granted
11/03/2003
Date expires
01/31/2006
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
6375 US Hwy 6, Portage IN 46368
indianalicensing.org
ID 24833083
LAST UPDATED 2024-03-09 13:03:00 UTC
LAST UPDATED 2024-03-09 13:03:00 UTC
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