Frederic Leslie Jackson
Osteopathic Physician
Indiana 02001678A Expired Non-Renewable
This Indiana license was held by Frederic Leslie Jackson. The license is no longer active. It was granted on 09/29/1995 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 02001678A
- Category: Osteopathic Physician
- Status: Expired Non-Renewable
- Date Granted: 09/29/1995 (over 30 years ago)
- Expiry Date: 06/30/2005 (almost 21 years ago)
LOCATIONS
A Address
FORT WAYNE IN 46805