Indiana
Professional Licensing Agency
BURTIS JAY THOMPSON
Physician
License number
01017896A
Date granted
12/25/1956
Date expires
06/30/1984
Class
Physician
Status
Expired Non-Renewable
Address
MARION IN 46952
indianalicensing.org
ID 6074186
LAST UPDATED 2024-04-01 18:15:57 UTC
LAST UPDATED 2024-04-01 18:15:57 UTC
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