Indiana
Professional Licensing Agency
TRI STATE PHYSICIANS PSC
Medical Licensing Board - Medical Corporation
License number
50004025A
Date granted
12/04/1997
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
TRI STATE OCCUPATIONAL MEDICINE, 612 6TH AVENUET, HUNTINGTON WV 25701
indianalicensing.org
ID 24828191
LAST UPDATED 2026-04-04 18:35:13 UTC
LAST UPDATED 2026-04-04 18:35:13 UTC
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