Indiana
Professional Licensing Agency
ORTHOPEDICS AND SPORTS MEDICIN
Medical Licensing Board - Medical Corporation
License number
50004168A
Date granted
10/15/1999
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2900 WEST 16TH STREET, BEDFORD IN 47421
indianalicensing.org
ID 24823767
LAST UPDATED 2024-02-29 00:57:28 UTC
LAST UPDATED 2024-02-29 00:57:28 UTC
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