W R VANDENBOSCH MD

Medical Licensing Board - Medical Corporation

Indiana  50000118A   Expired

This Indiana license was held by W R VANDENBOSCH MD. The license is no longer active. It was granted on 09/25/1969 and expired on 12/31/1983

LICENSE DETAILS

  • License Number: 50000118A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 09/25/1969 (over 55 years ago)
  • Expiry Date: 12/31/1983 (over 41 years ago)

LOCATIONS

A Address

33 NORTH 22ND STREET, LAFAYETTE IN 47904