License holder summary

Jason Frank Tanner is a Medical Residency Permit licensed to practice in Indiana. The address on file for Jason Frank Tanner is Fort Wayne IN 46825. This licensed professional license is not current. The license was granted 06/27/2011 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Jason Frank Tanner
Medical Residency Permit
License number
11016322A
Date granted
06/27/2011
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46825
indianalicensing.org
ID 5979040
LAST UPDATED 2024-05-17 10:25:15 UTC

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