Indiana
Professional Licensing Agency
PRIMARY CARE PC
Medical Licensing Board - Medical Corporation
License number
50004219A
Date granted
03/23/2000
Date expires
01/31/2012
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3125 WILLOWCREEK, PORTAGE IN 46368
indianalicensing.org
ID 24833103
LAST UPDATED 2024-04-08 09:19:39 UTC
LAST UPDATED 2024-04-08 09:19:39 UTC
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