Indiana
Professional Licensing Agency
OFFICE OF FAMILY MEDICINE P C
Medical Licensing Board - Medical Corporation
License number
50003213A
Date granted
12/29/1989
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
430 WEST VOTAW, PORTLAND IN 47371
indianalicensing.org
ID 24833113
LAST UPDATED 2024-05-06 23:23:49 UTC
LAST UPDATED 2024-05-06 23:23:49 UTC
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