Indiana
Professional Licensing Agency
THORACIC & CARDIO SURGER
Medical Licensing Board - Medical Corporation
License number
50000129A
Date granted
11/12/1969
Date expires
01/31/1988
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
720 EAST CEDAR #130, SOUTH BEND IN 46617
indianalicensing.org
ID 24834243
LAST UPDATED 2024-05-06 18:44:50 UTC
LAST UPDATED 2024-05-06 18:44:50 UTC
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