License holder summary

PORTAGE MEDICAL SURGICAL CENTER is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for PORTAGE MEDICAL SURGICAL CENTER is 3630 WILLOWCREEK ROAD, PORTAGE IN 46368. This licensed professional license is not current. The license was granted 03/31/1986 and expired on 12/31/1999.

Indiana

Professional Licensing Agency

PORTAGE MEDICAL SURGICAL CENTER
Pharmacy Board - Csr
License number
61001059B
Date granted
03/31/1986
Date expires
12/31/1999
Class
Pharmacy Board - Csr
Status
Expired
Address
3630 WILLOWCREEK ROAD, PORTAGE IN 46368
indianalicensing.org
ID 24879574
LAST UPDATED 2026-05-11 14:11:27 UTC

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