License holder summary

Jason Matthew Fish is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Jason Matthew Fish is Bloomington IN 47404. This licensed professional license is not current. The license was granted 12/20/2010 and expired on 03/20/2011.

Indiana

Professional Licensing Agency

Jason Matthew Fish
Temporary Medical Doctor Permit
License number
99045311A
Date granted
12/20/2010
Date expires
03/20/2011
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Bloomington IN 47404
indianalicensing.org
ID 6128038
LAST UPDATED 2024-02-13 19:26:02 UTC

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