Indiana
Professional Licensing Agency
PEDIATRIC & INTERNAL MEDICINE
Medical Licensing Board - Medical Corporation
License number
50000450A
Date granted
02/23/1972
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
CENTER P C, 1434 CHESTER BLVD, RICHMOND IN 47374
indianalicensing.org
ID 24833354
LAST UPDATED 2024-04-07 17:30:52 UTC
LAST UPDATED 2024-04-07 17:30:52 UTC
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