Indiana
Professional Licensing Agency
SRD Podiatry Professional Corporation
Podiatric Medicine Board - Podiatric Corporation
License number
52000103A
Date granted
11/24/2004
Date expires
01/31/2010
Class
Podiatric Medicine Board - Podiatric Corporation
Status
Expired
Address
9257 Cleveland Street, Merrillville IN 46410
indianalicensing.org
ID 24920627
LAST UPDATED 2026-04-22 03:54:44 UTC
LAST UPDATED 2026-04-22 03:54:44 UTC
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