Fort Wayne Occupational Medical Clinic, PC

Medical Licensing Board - Medical Corporation

Indiana  50004843A   Expired

This Indiana license was held by Fort Wayne Occupational Medical Clinic, PC. The license is no longer active. It was granted on 03/09/2006 and expired on 01/31/2008

LICENSE DETAILS

  • License Number: 50004843A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 03/09/2006 (about 19 years ago)
  • Expiry Date: 01/31/2008 (over 17 years ago)

LOCATIONS

A Address

6642 St. Joe Road, Suite B, Fort Wayne IN 46835