Indiana
Professional Licensing Agency
Southern Indiana Orthopedic & Spine Surgery, P.S.C.
Medical Licensing Board - Medical Corporation
License number
50004855A
Date granted
04/18/2006
Date expires
01/31/2008
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1502 Tunnel Mill Road, Charlestown IN 47111
indianalicensing.org
ID 24824726
LAST UPDATED 2024-02-29 00:55:16 UTC
LAST UPDATED 2024-02-29 00:55:16 UTC
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