License holder summary

Otto W. Wickstrom, MD, Inc. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Otto W. Wickstrom, MD, Inc. is 2360 NORTH NATIONAL ROAD, COLUMBUS IN 47201. This licensed professional license is not current. The license was granted 04/24/1974 and expired on 01/31/2014.

Indiana

Professional Licensing Agency

Otto W. Wickstrom, MD, Inc.
Medical Licensing Board - Medical Corporation
License number
50000824A
Date granted
04/24/1974
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2360 NORTH NATIONAL ROAD, COLUMBUS IN 47201
indianalicensing.org
ID 24825006
LAST UPDATED 2024-02-18 04:56:49 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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