Indiana
Professional Licensing Agency
Southern Indiana ENT, LLC
Medical Licensing Board - Medical Corporation
License number
50001594A
Date granted
09/07/1979
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1655 GLADSTONE AVENUE, COLUMBUS IN 47201
indianalicensing.org
ID 24824980
LAST UPDATED 2024-04-01 06:18:32 UTC
LAST UPDATED 2024-04-01 06:18:32 UTC
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