Indiana
Professional Licensing Agency
Southern Indiana Family Practice Center, PC
Medical Licensing Board - Medical Corporation
License number
50004407A
Date granted
03/12/2002
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2512 B Q STREET, Bedford IN 47421
indianalicensing.org
ID 24823798
LAST UPDATED 2024-04-28 20:05:27 UTC
LAST UPDATED 2024-04-28 20:05:27 UTC
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