Indiana
Professional Licensing Agency
WAYNEDALE FAMILY PHYS
Medical Licensing Board - Medical Corporation
License number
50000033A
Date granted
05/23/1968
Date expires
01/31/1987
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
BOX 7966, FORT WAYNE IN 46899
indianalicensing.org
ID 24827055
LAST UPDATED 2024-03-15 06:08:15 UTC
LAST UPDATED 2024-03-15 06:08:15 UTC
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