Indiana
Professional Licensing Agency
Premier Surgical Specialists, P.C.
Medical Licensing Board - Medical Corporation
License number
50005257A
Date granted
05/22/2014
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1117 Portmamock Court, Dyer IN 46311
indianalicensing.org
ID 24825487
LAST UPDATED 2026-03-29 03:05:04 UTC
LAST UPDATED 2026-03-29 03:05:04 UTC
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