Indiana
Professional Licensing Agency
Regional Plastic Surgery, P.C.
Medical Licensing Board - Medical Corporation
License number
50004469A
Date granted
11/15/2002
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
103 West 86th Avenue, Merrillville IN 46410
indianalicensing.org
ID 24831111
LAST UPDATED 2026-05-07 20:05:47 UTC
LAST UPDATED 2026-05-07 20:05:47 UTC
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