License holder summary

JACK D SUMMERLIN MD INC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for JACK D SUMMERLIN MD INC is 6375 AVALON LANE, EAST DRIVE, INDIANAPOLIS IN 46220. This licensed professional license is not current. The license was granted 04/09/1979 and expired on 12/31/1983.

Indiana

Professional Licensing Agency

JACK D SUMMERLIN MD INC
Medical Licensing Board - Medical Corporation
License number
50001510A
Date granted
04/09/1979
Date expires
12/31/1983
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
6375 AVALON LANE, EAST DRIVE, INDIANAPOLIS IN 46220
indianalicensing.org
ID 24828763
LAST UPDATED 2024-03-18 23:59:56 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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