Edison Lakes Oral Surgery, P.C.

Medical Licensing Board - Medical Corporation

Indiana  50004957A   Active

This Indiana license is held by Edison Lakes Oral Surgery, P.C.. The license is currently active. It was granted on 08/31/2007 and expired on 01/31/2016

LICENSE DETAILS

  • License Number: 50004957A
  • Category: Medical Corporation
  • Status: Active
  • Date Granted: 08/31/2007 (over 17 years ago)
  • Expiry Date: 01/31/2016 (over 9 years ago)

LOCATIONS

A Address

270 E. Day Road, Suite 260, Mishawaka IN 46545