Indiana
Professional Licensing Agency
SPORTS MEDICINE & JOINT
Medical Licensing Board - Medical Corporation
License number
50001635A
Date granted
11/16/1979
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
RECONSTRUCTIVE SURGERY PC, 1199 HADLEY ROAD, MOORESVILLE IN 46158
indianalicensing.org
ID 24831576
LAST UPDATED 2024-04-10 12:27:39 UTC
LAST UPDATED 2024-04-10 12:27:39 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.