JACK D WHITAKER M D INC

Medical Licensing Board - Medical Corporation

Indiana  50001534A   Expired

This Indiana license was held by JACK D WHITAKER M D INC. The license is no longer active. It was granted on 06/19/1979 and expired on 01/31/1987

LICENSE DETAILS

  • License Number: 50001534A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 06/19/1979 (almost 46 years ago)
  • Expiry Date: 01/31/1987 (over 38 years ago)

LOCATIONS

A Address

1515 NORTH MADISON AVENUE, ANDERSON IN 46012