Indiana
Professional Licensing Agency
Psychiatric Services, P.C.
Medical Licensing Board - Medical Corporation
License number
50004579A
Date granted
01/08/2004
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
11115 Crosstree Court, Fort Wayne IN 46814
indianalicensing.org
ID 24826943
LAST UPDATED 2024-02-21 19:24:15 UTC
LAST UPDATED 2024-02-21 19:24:15 UTC
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