Indiana
Professional Licensing Agency
Riverside Neurology, P.C.
Medical Licensing Board - Medical Corporation
License number
50004122A
Date granted
03/19/1999
Date expires
01/31/2010
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
117 NORTH 5TH STREET APT 318, LAFAYETTE IN 47901
indianalicensing.org
ID 24830168
LAST UPDATED 2024-02-29 20:41:20 UTC
LAST UPDATED 2024-02-29 20:41:20 UTC
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