License holder summary

JACQUELINE Y GERVAIS M D SC PC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for JACQUELINE Y GERVAIS M D SC PC is 3229 SOUTH BROADWAY SUITE 111, GARY IN 46409. This licensed professional license is not current. The license was granted 03/07/1995 and expired on 01/31/1998.

Indiana

Professional Licensing Agency

JACQUELINE Y GERVAIS M D SC PC
Medical Licensing Board - Medical Corporation
License number
50003697A
Date granted
03/07/1995
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3229 SOUTH BROADWAY SUITE 111, GARY IN 46409
indianalicensing.org
ID 24827306
LAST UPDATED 2024-03-11 21:55:06 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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