Indiana
Professional Licensing Agency
Summit Plastic Surgery PC
Medical Licensing Board - Medical Corporation
License number
50004425A
Date granted
05/21/2002
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
Accounting Department, 11141 Parkview Plaza Drive Suite 300, Fort Wayne IN 46845
indianalicensing.org
ID 24827043
LAST UPDATED 2024-03-22 10:09:38 UTC
LAST UPDATED 2024-03-22 10:09:38 UTC
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