Indiana
Professional Licensing Agency
Spinal and Neurosurgical Institute, PC
Medical Licensing Board - Medical Corporation
License number
50004646A
Date granted
08/09/2004
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
1600 S. Lake Park Ave, Ste 1102, Hobart IN 46342
indianalicensing.org
ID 24828124
LAST UPDATED 2026-06-03 02:32:58 UTC
LAST UPDATED 2026-06-03 02:32:58 UTC
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