License holder summary

Pinelake Pediatrics, PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Pinelake Pediatrics, PC is 1300 State Street, Ste 1C, La Porte IN 46350. This licensed professional license is not current. The license was granted 07/18/2003 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

Pinelake Pediatrics, PC
Medical Licensing Board - Medical Corporation
License number
50004540A
Date granted
07/18/2003
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1300 State Street, Ste 1C, La Porte IN 46350
indianalicensing.org
ID 24829975
LAST UPDATED 2026-03-29 00:55:44 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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