Matthew Jay Fackrell
Osteopathic Physician
Indiana 02002954A Expired Non-Renewable
This Indiana license was held by Matthew Jay Fackrell. The license is no longer active. It was granted on 06/23/2005 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 02002954A
- Category: Osteopathic Physician
- Status: Expired Non-Renewable
- Date Granted: 06/23/2005 (almost 20 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Fort Wayne IN 46804