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 2024-02-17 21:12:29 UTC
LAST UPDATED 2024-02-17 21:12:29 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.