Indiana
Professional Licensing Agency
Plastic Surgery Innovations, P.C.
Medical Licensing Board - Medical Corporation
License number
50004890A
Date granted
09/12/2006
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
10211 Auburn Park Drive, Fort Wayne IN 46825
indianalicensing.org
ID 24826918
LAST UPDATED 2024-03-22 09:15:03 UTC
LAST UPDATED 2024-03-22 09:15:03 UTC
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