Indiana
Professional Licensing Agency
JACK W HIGGINS M D P C
Medical Licensing Board - Medical Corporation
License number
50001216A
Date granted
06/29/1977
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
804 SOUTH BERKLEY ROAD, KOKOMO IN 46901
indianalicensing.org
ID 24829807
LAST UPDATED 2026-05-21 02:23:07 UTC
LAST UPDATED 2026-05-21 02:23:07 UTC
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