FORT WAYNE DERMATOLOGY P C
Medical Licensing Board - Medical Corporation
Indiana 50001913A Expired
This Indiana license was held by FORT WAYNE DERMATOLOGY P C. The license is no longer active. It was granted on 12/24/1980 and expired on 01/31/2004
LICENSE DETAILS
- License Number: 50001913A
- Category: Medical Corporation
- Status: Expired
- Date Granted: 12/24/1980 (over 44 years ago)
- Expiry Date: 01/31/2004 (over 21 years ago)
LOCATIONS
A Address
5750 FALLS DRIVE, FORT WAYNE IN 46804