Indiana
Professional Licensing Agency
OSTEOPATHIC MED ARTS
Medical Licensing Board - Medical Corporation
License number
50001072A
Date granted
06/02/1976
Date expires
12/31/1983
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
8902 BLACK HAWK LANE, INDIANAPOLIS IN 46234
indianalicensing.org
ID 24829061
LAST UPDATED 2026-07-14 02:10:44 UTC
LAST UPDATED 2026-07-14 02:10:44 UTC
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