License holder summary

Rensselaer Medical Provides is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Rensselaer Medical Provides is CLINIC OF FAMILY MEDICINE BUILDING, 1103 EAST GRACE STREET, RENSSELAER IN 47978. This licensed professional license is current. The license was granted 09/25/1985 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Rensselaer Medical Provides
Medical Licensing Board - Medical Corporation
License number
50002741A
Date granted
09/25/1985
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
CLINIC OF FAMILY MEDICINE BUILDING, 1103 EAST GRACE STREET, RENSSELAER IN 47978
indianalicensing.org
ID 24833211
LAST UPDATED 2024-03-04 21:44:56 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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