Indiana
Professional Licensing Agency
JAMES DAVID BOOKOUT
Physician
License number
01046648A
Date granted
05/22/1997
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
FORT WAYNE IN 46804
indianalicensing.org
ID 6053140
LAST UPDATED 2024-04-19 00:05:40 UTC
LAST UPDATED 2024-04-19 00:05:40 UTC
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