License holder summary

Southern Indiana Medical Providers, P.C. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Southern Indiana Medical Providers, P.C. is 402 N. Rogers Street, Bloomington IN 47404. This licensed professional license is current. The license was granted 02/18/1998 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Southern Indiana Medical Providers, P.C.
Medical Licensing Board - Medical Corporation
License number
50004041A
Date granted
02/18/1998
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
402 N. Rogers Street, Bloomington IN 47404
indianalicensing.org
ID 24824089
LAST UPDATED 2024-02-28 21:14:27 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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