PEDIATRIC GASTROENTEROLOGY PC

Medical Licensing Board - Medical Corporation

Indiana  50004588A   Expired

This Indiana license was held by PEDIATRIC GASTROENTEROLOGY PC. The license is no longer active. It was granted on 02/02/2004 and expired on 01/31/2014

LICENSE DETAILS

  • License Number: 50004588A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 02/02/2004 (over 20 years ago)
  • Expiry Date: 01/31/2014 (over 10 years ago)

LOCATIONS

A Address

7230 ENGLE ROAD SUITE 230, Fort Wayne IN 46804