License holder summary

Jason David Hanna is a Medical Residency Permit licensed to practice in Indiana. The address on file for Jason David Hanna is Fort Wayne IN 46804-4133. This licensed professional license is not current. The license was granted 06/03/2005 and expired on 06/30/2010.

Indiana

Professional Licensing Agency

Jason David Hanna
Medical Residency Permit
License number
11012749A
Date granted
06/03/2005
Date expires
06/30/2010
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46804-4133
indianalicensing.org
ID 5979062
LAST UPDATED 2024-03-23 17:20:39 UTC

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