Indiana
Professional Licensing Agency
Preferred, PC
Medical Licensing Board - Medical Corporation
License number
50003695A
Date granted
08/29/1991
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
119 SOUTH WASHINGTON STREET, MARION IN 46952
indianalicensing.org
ID 24830623
LAST UPDATED 2024-04-15 18:19:49 UTC
LAST UPDATED 2024-04-15 18:19:49 UTC
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