Indiana
Professional Licensing Agency
TRENT G ORFANOS M D P C
Medical Licensing Board - Medical Corporation
License number
50003007A
Date granted
08/21/1987
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
FANOS PROFESSIONAL MEDICAL CORP, 1036 SENECA DRIVE, CROWN POINT IN 46307
indianalicensing.org
ID 24825251
LAST UPDATED 2024-03-04 23:12:44 UTC
LAST UPDATED 2024-03-04 23:12:44 UTC
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