Indiana
Professional Licensing Agency
KAY SHULTZ THACKER
Physician
License number
01024336A
Date granted
08/01/1972
Date expires
06/30/1980
Class
Physician
Status
Expired Non-Renewable
Address
FORT WAYNE IN 46815
indianalicensing.org
ID 6053379
LAST UPDATED 2024-05-02 14:35:32 UTC
LAST UPDATED 2024-05-02 14:35:32 UTC
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