License holder summary

Jacob Fredrick Collen is a Physician licensed to practice in Indiana. The address on file for Jacob Fredrick Collen is Washington DC 20001. This licensed professional license is not current. The license was granted 12/23/2003 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Jacob Fredrick Collen
Physician
License number
01058518A
Date granted
12/23/2003
Date expires
10/31/2013
Class
Physician
Status
Expired
Address
Washington DC 20001
indianalicensing.org
ID 6109787
LAST UPDATED 2024-03-23 18:20:51 UTC

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