Indiana
Professional Licensing Agency
The Granger Village Doctor, P.C.
Medical Licensing Board - Medical Corporation
License number
50004998A
Date granted
02/11/2008
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
50914 Rothbury Drive, Granger IN 46530
indianalicensing.org
ID 24827562
LAST UPDATED 2024-05-12 17:35:56 UTC
LAST UPDATED 2024-05-12 17:35:56 UTC
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