License holder summary

Pediatrics Center of Fort Wayne, P.C. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Pediatrics Center of Fort Wayne, P.C. is 3030 LAKE AVENUE SUITE 25A, FORT WAYNE IN 46805. This licensed professional license is current. The license was granted 10/25/2005 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Pediatrics Center of Fort Wayne, P.C.
Medical Licensing Board - Medical Corporation
License number
50004744A
Date granted
10/25/2005
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
3030 LAKE AVENUE SUITE 25A, FORT WAYNE IN 46805
indianalicensing.org
ID 24826886
LAST UPDATED 2026-05-29 01:43:23 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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