JEAN N WANNER Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087964

License Status

INACTIVE

Business

First Name

JEAN

Middle

NOSKER

Last Name

WANNER

Business Name

JEAN N WANNER

Original Issue Date

01/27/1994

Effective Date

01/27/1994

Expiration Date

07/31/2005

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006