License holder summary

JACK D WHITAKER M D INC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for JACK D WHITAKER M D INC is 1515 NORTH MADISON AVENUE, ANDERSON IN 46012. This licensed professional license is not current. The license was granted 06/19/1979 and expired on 01/31/1987.

Indiana

Professional Licensing Agency

JACK D WHITAKER M D INC
Medical Licensing Board - Medical Corporation
License number
50001534A
Date granted
06/19/1979
Date expires
01/31/1987
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1515 NORTH MADISON AVENUE, ANDERSON IN 46012
indianalicensing.org
ID 24823371
LAST UPDATED 2024-02-18 05:30:49 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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