JEAN N WANNER D O P C
Medical Licensing Board - Medical Corporation
Indiana 50003918A Expired
This Indiana license was held by JEAN N WANNER D O P C. The license is no longer active. It was granted on 01/23/1997 and expired on 01/31/2004
LICENSE DETAILS
- License Number: 50003918A
- Category: Medical Corporation
- Status: Expired
- Date Granted: 01/23/1997 (over 28 years ago)
- Expiry Date: 01/31/2004 (over 21 years ago)
LOCATIONS
A Address
901 MACARTHUR BOULEVARD, MUNSTER IN 46321