OTTO NORMAN FORREST, JR
Physician
Indiana 01018994A Expired Non-Renewable
This Indiana license was held by OTTO NORMAN FORREST, JR. The license is no longer active. It was granted on 08/24/1960 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01018994A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 08/24/1960 (almost 64 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
SOUTH BEND IN 46614