Indiana
Professional Licensing Agency
ORTHOPAEDIC & ARTHROSCOPIC
Medical Licensing Board - Medical Corporation
License number
50002622A
Date granted
11/27/1984
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
SURGERY P C, 800 BROADWAY STREET #100, FORT WAYNE IN 46802
indianalicensing.org
ID 24826845
LAST UPDATED 2024-05-03 11:20:43 UTC
LAST UPDATED 2024-05-03 11:20:43 UTC
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