JOEL W SECREST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071328

License Status

INACTIVE

Business

First Name

JOEL W

Last Name

SECREST

Suffix

Business Name

JOEL W SECREST MD

Original Issue Date

08/02/1985

Effective Date

08/02/1985

Expiration Date

07/31/1990

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

05/15/2008