Indiana
Professional Licensing Agency
South Shore Foot and Ankle PC
Podiatric Medicine Board - Podiatric Corporation
License number
52000120A
Date granted
11/01/2012
Date expires
01/31/2016
Class
Podiatric Medicine Board - Podiatric Corporation
Status
Active
Address
1551 S. Sturdy Road Suite 4, Valparaiso IN 46383
indianalicensing.org
ID 24920930
LAST UPDATED 2024-04-23 13:52:41 UTC
LAST UPDATED 2024-04-23 13:52:41 UTC
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