License holder summary

RANDALL DERMATOLOGY P C is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for RANDALL DERMATOLOGY P C is 124 SAGAMORE PARKWAY WEST, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 11/20/1997 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

RANDALL DERMATOLOGY P C
Medical Licensing Board - Medical Corporation
License number
50004022A
Date granted
11/20/1997
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
124 SAGAMORE PARKWAY WEST, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 24835371
LAST UPDATED 2024-04-10 06:03:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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