Indiana
Professional Licensing Agency
Quackenbush Medical, PC
Medical Licensing Board - Medical Corporation
License number
50004571A
Date granted
11/26/2003
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1756 Deer Creek Court, Valparaiso IN 46385
indianalicensing.org
ID 24835001
LAST UPDATED 2024-02-26 15:46:10 UTC
LAST UPDATED 2024-02-26 15:46:10 UTC
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