License holder summary

PORTAGE MEDICAL GROUP is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for PORTAGE MEDICAL GROUP is 6040 LUTE ROAD, PORTAGE IN 46368. This licensed professional license is not current. The license was granted 05/22/1969 and expired on 01/31/1998.

Indiana

Professional Licensing Agency

PORTAGE MEDICAL GROUP
Medical Licensing Board - Medical Corporation
License number
50000090A
Date granted
05/22/1969
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
6040 LUTE ROAD, PORTAGE IN 46368
indianalicensing.org
ID 24833095
LAST UPDATED 2024-02-09 15:41:19 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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