Indiana
Professional Licensing Agency
S SIDE ANESTHESIOLOGISTS
Medical Licensing Board - Medical Corporation
License number
50000428A
Date granted
01/11/1972
Date expires
12/31/1980
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
4002 MEADOWS DRIVE SUITE 102, INDIANAPOLIS IN 46205
indianalicensing.org
ID 24829223
LAST UPDATED 2026-03-18 19:32:34 UTC
LAST UPDATED 2026-03-18 19:32:34 UTC
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