Indiana
Professional Licensing Agency
PHILLIP BLAINE SISK
Physician
License number
01018571A
Date granted
07/13/1959
Date expires
06/30/2001
Class
Physician
Status
Expired Non-Renewable
Address
TOPEKA KS 66604
indianalicensing.org
ID 6106216
LAST UPDATED 2024-03-30 05:18:42 UTC
LAST UPDATED 2024-03-30 05:18:42 UTC
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