Jefferson Pediatrics

Medical Licensing Board - Medical Corporation

Indiana  50003876A   Active

This Indiana license is held by Jefferson Pediatrics. The license is currently active. It was granted on 09/28/1996 and expired on 01/31/2016

LICENSE DETAILS

  • License Number: 50003876A
  • Category: Medical Corporation
  • Status: Active
  • Date Granted: 09/28/1996 (over 28 years ago)
  • Expiry Date: 01/31/2016 (over 9 years ago)

LOCATIONS

A Address

3919 WEST JEFFERSON BLVD STE 1, FORT WAYNE IN 46804