License holder summary

Mary Anne Quiambao Eisma is a Osteopathic Physician licensed to practice in Indiana. The address on file for Mary Anne Quiambao Eisma is Dayton OH 45440. This licensed professional license is not current. The license was granted 03/02/2012 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Mary Anne Quiambao Eisma
Osteopathic Physician
License number
02003990A
Date granted
03/02/2012
Date expires
10/31/2013
Class
Osteopathic Physician
Status
Expired
Address
Dayton OH 45440
indianalicensing.org
ID 6011636
LAST UPDATED 2024-03-27 11:00:53 UTC

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