JACQUELINE Y GERVAIS M D SC PC

Medical Licensing Board - Medical Corporation

Indiana  50003697A   Expired

This Indiana license was held by JACQUELINE Y GERVAIS M D SC PC. The license is no longer active. It was granted on 03/07/1995 and expired on 01/31/1998

LICENSE DETAILS

  • License Number: 50003697A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 03/07/1995 (over 29 years ago)
  • Expiry Date: 01/31/1998 (over 26 years ago)

LOCATIONS

A Address

3229 SOUTH BROADWAY SUITE 111, GARY IN 46409