M H GUSTAFSON MD

Medical Licensing Board - Medical Corporation

Indiana  50000280A   Expired

This Indiana license was held by M H GUSTAFSON MD. The license is no longer active. It was granted on 04/21/1971 and expired on 01/31/1994

LICENSE DETAILS

  • License Number: 50000280A
  • Category: Medical Corporation
  • Status: Expired
  • Date Granted: 04/21/1971 (about 54 years ago)
  • Expiry Date: 01/31/1994 (over 31 years ago)

LOCATIONS

A Address

4501 NORTH WHEELING #5 C, MUNCIE IN 47304