License holder summary

SOUTHSIDE ORTHOPAEDIC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for SOUTHSIDE ORTHOPAEDIC is 112 NORTH 17TH AVENUE # 100, BEECH GROVE IN 46107. This licensed professional license is not current. The license was granted 07/30/1981 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

SOUTHSIDE ORTHOPAEDIC
Medical Licensing Board - Medical Corporation
License number
50002105A
Date granted
07/30/1981
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
112 NORTH 17TH AVENUE # 100, BEECH GROVE IN 46107
indianalicensing.org
ID 24823855
LAST UPDATED 2024-04-22 12:15:42 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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