SOUTHSIDE ORTHOPAEDIC

Medical Licensing Board - Medical Corporation

Indiana  50002105A   Expired

This Indiana license was held by SOUTHSIDE ORTHOPAEDIC. The license is no longer active. It was granted on 07/30/1981 and expired on 01/31/2004

LICENSE DETAILS

  • License Number: 50002105A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 07/30/1981 (over 42 years ago)
  • Expiry Date: 01/31/2004 (about 20 years ago)

LOCATIONS

A Address

112 NORTH 17TH AVENUE # 100, BEECH GROVE IN 46107