Juanito Fajardo Dalisan

Physician

Indiana  01038106A   Expired

This Indiana license was held by Juanito Fajardo Dalisan. The license is no longer active. It was granted on 01/25/1990 and expired on 10/31/2013

LICENSE DETAILS

  • License Number: 01038106A
  • Category: Physician
  • Status: Expired
  • Date Granted: 01/25/1990 (over 35 years ago)
  • Expiry Date: 10/31/2013 (over 11 years ago)

LOCATIONS

A Address

Dyer IN 46311-1280