Indiana
Professional Licensing Agency
SURGEONS & PHYS ASSOC
Medical Licensing Board - Medical Corporation
License number
50000130A
Date granted
11/12/1969
Date expires
01/31/1989
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
9410 AINSWORTH ROAD, HOBART IN 46342
indianalicensing.org
ID 24828127
LAST UPDATED 2026-05-18 10:46:12 UTC
LAST UPDATED 2026-05-18 10:46:12 UTC
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