Lake Medical Specialists, PC

Medical Licensing Board - Medical Corporation

Indiana  50003869A   Expired Non-Renewable

This Indiana license was held by Lake Medical Specialists, PC. The license is no longer active. It was granted on 09/05/1996 and expired on 01/31/2010

LICENSE DETAILS

  • License Number: 50003869A
  • Category: Medical Corporation
  • Status: Expired Non-Renewable
  • Date Granted: 09/05/1996 (over 28 years ago)
  • Expiry Date: 01/31/2010 (over 15 years ago)

LOCATIONS

A Address

POST OFFICE BOX 400, PLYMOUTH IN 46563