Indiana
Professional Licensing Agency
Jacqueline Susanna Chan
Osteopathic Physician
License number
02003036A
Date granted
02/01/2006
Date expires
06/30/2007
Class
Osteopathic Physician
Status
Expired Non-Renewable
Address
Columbus OH 43204
indianalicensing.org
ID 6011149
LAST UPDATED 2024-02-03 04:04:54 UTC
LAST UPDATED 2024-02-03 04:04:54 UTC
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