License holder summary

Jacqueline Joan Wisner is a Physician licensed to practice in Indiana. The address on file for Jacqueline Joan Wisner is South Bend IN 46617. This licensed professional license is not current. The license was granted 11/25/1998 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Jacqueline Joan Wisner
Physician
License number
01049878A
Date granted
11/25/1998
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
South Bend IN 46617
indianalicensing.org
ID 6101241
LAST UPDATED 2024-03-20 13:59:01 UTC

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