License holder summary

PEDIATRIC GASTROENTEROLOGY PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for PEDIATRIC GASTROENTEROLOGY PC is 7230 ENGLE ROAD SUITE 230, Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 02/02/2004 and expired on 01/31/2014.

Indiana

Professional Licensing Agency

PEDIATRIC GASTROENTEROLOGY PC
Medical Licensing Board - Medical Corporation
License number
50004588A
Date granted
02/02/2004
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
7230 ENGLE ROAD SUITE 230, Fort Wayne IN 46804
indianalicensing.org
ID 24826904
LAST UPDATED 2026-03-21 06:19:05 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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