License holder summary

JORGE PANTALEON ALONSO is a Physician licensed to practice in Indiana. The address on file for JORGE PANTALEON ALONSO is GRIFFIN GA 30223. This licensed professional license is not current. The license was granted 09/22/1966 and expired on 06/30/1978.

Indiana

Professional Licensing Agency

JORGE PANTALEON ALONSO
Physician
License number
01021273A
Date granted
09/22/1966
Date expires
06/30/1978
Class
Physician
Status
Expired Non-Renewable
Address
GRIFFIN GA 30223
indianalicensing.org
ID 6059617
LAST UPDATED 2024-03-17 01:33:49 UTC

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