Indiana
Professional Licensing Agency
Walter Osborne Jackson
Temporary Medical Doctor Permit
License number
99038342A
Date granted
07/07/2009
Date expires
10/07/2009
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46814
indianalicensing.org
ID 6131351
LAST UPDATED 2026-05-23 14:32:40 UTC
LAST UPDATED 2026-05-23 14:32:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.