Indiana
Professional Licensing Agency
S BEND E N T & PLASTIC SURG
Medical Licensing Board - Medical Corporation
License number
50001624A
Date granted
10/30/1979
Date expires
10/30/1980
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
6102 YORK ROAD, SOUTH BEND IN 46614
indianalicensing.org
ID 24834210
LAST UPDATED 2024-02-05 06:37:02 UTC
LAST UPDATED 2024-02-05 06:37:02 UTC
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