CONNELLY FAMILY PRACTICE
Medical Licensing Board - Medical Corporation
Indiana 50000164A Expired
This Indiana license was held by CONNELLY FAMILY PRACTICE. The license is no longer active. It was granted on 01/22/1970 and expired on 12/31/1981
LICENSE DETAILS
- License Number: 50000164A
- Category: Medical Corporation
- Status: Expired
- Date Granted: 01/22/1970 (over 54 years ago)
- Expiry Date: 12/31/1981 (over 42 years ago)
LOCATIONS
A Address
4306 LAKE AVE, FORT WAYNE IN 46815