Indiana
Professional Licensing Agency
Surgery Center Anesthesia, PC
Medical Licensing Board - Medical Corporation
License number
50004785A
Date granted
11/16/2005
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
801 EAST LASALLE STREET, South Bend IN 46617
indianalicensing.org
ID 24834239
LAST UPDATED 2024-03-09 08:07:10 UTC
LAST UPDATED 2024-03-09 08:07:10 UTC
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