Indiana
Professional Licensing Agency
Orthopedic Specialist
Medical Licensing Board - Medical Corporation
License number
50000690A
Date granted
05/23/1973
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
707 RIVER DRIVE, MARION IN 46952
indianalicensing.org
ID 24830622
LAST UPDATED 2024-03-05 17:19:59 UTC
LAST UPDATED 2024-03-05 17:19:59 UTC
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