CHARLES C M PAN MD INC

Medical Licensing Board - Medical Corporation

Indiana  50001016A   Expired

This Indiana license was held by CHARLES C M PAN MD INC. The license is no longer active. It was granted on 01/21/1976 and expired on 01/31/1989

LICENSE DETAILS

  • License Number: 50001016A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 01/21/1976 (over 48 years ago)
  • Expiry Date: 01/31/1989 (over 35 years ago)

LOCATIONS

A Address

1616 HADLEY ROAD, FORT WAYNE IN 46804