C E RICHARDSON M D P C

Medical Licensing Board - Medical Corporation

Indiana  50003591A   Expired

This Indiana license was held by C E RICHARDSON M D P C. The license is no longer active. It was granted on 02/07/1994 and expired on 01/31/2000

LICENSE DETAILS

  • License Number: 50003591A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 02/07/1994 (over 31 years ago)
  • Expiry Date: 01/31/2000 (over 25 years ago)

LOCATIONS

A Address

3924 SPANISH TRAIL, FORT WAYNE IN 46815