Indiana
Professional Licensing Agency
VALPARAISO FAMILY
Medical Licensing Board - Medical Corporation
License number
50000485A
Date granted
03/22/1972
Date expires
01/31/2004
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
PHYSICIANS, 1101 GLENDALE AVE, VALPARAISO IN 46383
indianalicensing.org
ID 24835056
LAST UPDATED 2024-05-03 19:09:04 UTC
LAST UPDATED 2024-05-03 19:09:04 UTC
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