License holder summary

DONNA LAVERNE WILLIS is a Physician licensed to practice in Indiana. The address on file for DONNA LAVERNE WILLIS is MIAMISBURG OH 45342. This licensed professional license is not current. The license was granted 10/24/1985 and expired on 06/30/1986.

Indiana

Professional Licensing Agency

DONNA LAVERNE WILLIS
Physician
License number
01034758A
Date granted
10/24/1985
Date expires
06/30/1986
Class
Physician
Status
Expired Non-Renewable
Address
MIAMISBURG OH 45342
indianalicensing.org
ID 6076956
LAST UPDATED 2026-04-08 19:14:02 UTC

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