License holder summary

GERALD S MAXWELL is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for GERALD S MAXWELL is FORT WAYNE MEDICAL EDUCATION PROGRAM, 2434 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 03/28/1996 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

GERALD S MAXWELL
Controlled Substance Registration-Osteopathic Physician
License number
02001721B
Date granted
03/28/1996
Date expires
06/30/1997
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
FORT WAYNE MEDICAL EDUCATION PROGRAM, 2434 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5800444
LAST UPDATED 2024-04-14 05:49:19 UTC

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