Indiana
Professional Licensing Agency
PREFERRED ANESTESIA CONSULTANT
Medical Licensing Board - Medical Corporation
License number
50000062A
Date granted
02/27/1969
Date expires
01/31/1996
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
INC, P C, 2414 EAST STATE BOULEVARD #302, FORT WAYNE IN 46805
indianalicensing.org
ID 24826923
LAST UPDATED 2026-04-15 21:16:47 UTC
LAST UPDATED 2026-04-15 21:16:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.