EDISON LAKES ORTHOPEDIC

Medical Licensing Board - Medical Corporation

Indiana  50003466A   Expired

This Indiana license was held by EDISON LAKES ORTHOPEDIC. The license is no longer active. It was granted on 08/14/1992 and expired on 01/31/1996

LICENSE DETAILS

  • License Number: 50003466A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 08/14/1992 (almost 33 years ago)
  • Expiry Date: 01/31/1996 (over 29 years ago)

LOCATIONS

A Address

SURGERY & SPORTS MEDICINE P C, 109 SOUTH ST LOUIS BOULEVARD, SOUTH BEND IN 46617