License holder summary

JUANITO F DALISAN M D P C is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for JUANITO F DALISAN M D P C is 1049 ROYAL DUBLIN LANE, DYER IN 46311. This licensed professional license is not current. The license was granted 02/02/1995 and expired on 01/31/2008.

Indiana

Professional Licensing Agency

JUANITO F DALISAN M D P C
Medical Licensing Board - Medical Corporation
License number
50003683A
Date granted
02/02/1995
Date expires
01/31/2008
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
1049 ROYAL DUBLIN LANE, DYER IN 46311
indianalicensing.org
ID 24825468
LAST UPDATED 2024-03-10 23:13:14 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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