Miscellaneous Licenses Porter County, Indiana, Part 19

Author: Porter County, Indiana Clerk's Office
Publication date: 1838
Publisher:
Number of Pages:


USA > Indiana > Porter County > Miscellaneous Licenses Porter County, Indiana > Part 19


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approved March 8, 1897,


M. D.


of the County of


Boîtes


in the State of Indiana, whose


post office address is ..


kauts dich


has made application for a certificate authorizing a license to practice Medicine, Surgery


and Obstetrics in said State, and upon evidence presented it appears that he is the legal possessor of a


Sichu


issued to the person named therein ; that ....... he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of .. Boites County, is entitled to a.


license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. E .:: day


SEAL INDIANT CIJA11ON


VOS.


189.


President.


Courier. M.N. Secretary.


->PHYSICIAN'S * APPLICATIONK


-FOR- LICENSE,


William F


Nutt


APPLICANT.


DIPLOMA + CLAUSE.


FILED. JUN1 2,9.32 AM 1806


E. L. WILSON CLK. P. C. CT.


Filed


188


Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana, Panter


County, sct:


Before me, Clerk of the Circuit Court within and for said County and State, personally appeared Millian G. Nuth,


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly sworn, on oath says that he is a regular graduate of. Mesconam Eclectic medical College.


the same being a reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid. Million 7 Hatte


Subscribed and sworn to before me, this 12th day of Gime 1896, and I certify that said affiant exhibited to me the diploma referred to in this affidavit.


8. 2. Hilson. Clerk.


Data Diploma. Ima 8th 1896.


1


رسـ


:1


15.


-- -----


..... .


*****


......


Physician's Application FOR LICENSE.


Quart Cakes Applicant.


DIPLOMA CLAUSE.


Date of Diploma, Sieburg 2 ych 1883 Name of College, Collegeof Physicsen - Sungen Deakik dann


-


Filed


Odeber 2och


.1885-


I.Q. Draken


Clerk.


Wm. B. Burford, Printer, Indianapolis


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA, Paster County,


sct:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Ozar M. Cakes who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that .he is a regular graduate of College of PhysiciansDungeons of seokur Dowa.


in the State of


Dosa


the same being a reputable medical


college, and that ___ he holds a diploma dated February 27 st, 1883, duly


issued to her by the proper authorities of said college.


Omar M Oakes


Subscribed and sworn to by said applicant before me this.


20ch day


of. Odobes , 188公


WITNESS my hand and seal of said Court.


&Q Drapun


CLERK.


STATE OF INDIANA,


sct :


Peter


County,


The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.


WITNESS said Clerk and seal of said Court, this.


20ch


day of.


October


1885


Į


1


1


the Drapier


CLERK.


PHYSICIAN'S * APPLICATIONK


-FOR-


=LIGENSE.


Frederick Orsingen


APPLICANT.


DIPLOMA + CLAUSE,


FILED


AUG 10 1896


2. 6,0 %lica


Clerk Porter Ofranit Conrt.


Filed


1885


Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana, County, sct:


Before me, Clerk of the Circuit Court within and for said County and State, personally appeared Dr Frederick Led Orsinger


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being, duly


sworn, on oath says that he is a regular graduate of.


Diversity of Chicago see and of the Para-


dachrie, of Zurich, Germany (Aweberland)


above the same being a reputable Medical Colleges and the diploma granted by said College, he now exhibits C to the Clerk of the Circuit Court of the County first aforesaid.


Subscribed and sworn to before me, this day of Aug 1895, and I certify that said affiant exhibited


to me the diploma referred to in this affidavit ..


Clerk.


Date of Willing any 16/95.


PHYSICIAN'S CERTIFICATE FROM THE


RIO& STATE


State Board of Medical Registration and Examination®


TO


Cfr. Pagel M. D.


J4.26,2.25 PM 1007


Filed .E. L .. WILSON. 189 CLK. P. C. CT.


Clerk


County.


WN. B. BURFORD, PRINTER, INDIANAPOLIS


Form No. 6.


No. 3291


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION : OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of " An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of. licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing. penalties, and repealing all laws in conflict therewith and certain acts therein specified,".


approved March 8, 1897,


le has br Cagul


M. D.


of the County of :


Porter


in the State of Indiana, whose


post office address is Hebrow Indiana


has made application for a certificate authorizing a license to practice Medicine, Surgery


and Obstetrics in said State, and upon evidence presented it appears that he is the legal possessor of a License


issued to the person named therein ; that". .he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of .. Partir County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. 1.2 .. day


SEAL INDIAN


of. July 1897 Arbiter m&


President.


Secretary.


1


J. J &


PHYSICIAN'S * APPLICATIONK -FOR- =LICENSE,


Charles W. Pagela


APPLICANT.


DIPLOMA + CLAUSE,


Filed


april 6th


1886


E. La Wiesoio


Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana,


Porter


County, sct:


Before me, Clerk of the Circuit Court within and for said County and State, personally


appeared Charles W. Pagel


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly sworn, on oath says that he is a regular graduate of. american Medical


College


the same being a reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid.


Charles po Pagel.


6th


Subscribed and sworn to before me, this


day of


189 6 and I certify that said affiant exhibited


to me the diploma referred to in this affidavit, 6 L. Wilsoni Clerk.


.


TAU0


1. 1.75.


.....


Physician's Application FOR


LICENSE.


Samuel Jaqui


Applicant.


DIPLOMA CLAUSE.


Date of Diploma,


May 26th 1884 Name of College,


Becuett Medical Cat


College of Chicago


Filed October 2ml . 188.5 Ja, Drafún


Clerk.


Wm. B. Burford, Printer, Indianapolis


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA, Carter County,) sct:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Samuel Pagine who


now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that_he is a regular graduate of Bennett Medical College of Chicago


in the State of


, the same being a reputable medical


college, and that _he holds a diploma dated May 26th , 18.7.4, duly


issued to ha by the proper authorities of said college.


Samuel Pagine


....


Subscribed and sworn to by said applicant before me this. 2 nd day


of October


1885


CIRCUIT ... ..


WITNESS my hand and seal of said Court.


AQ, Arabien


CLERK.


1


STATE OF INDIANA,


sct:


- County,)


The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.


WITNESS said Clerk and seal of said Court, this.


2 mal


MARCO


day of.


October


1885


SO Drafún


CLERK.


PHYSICIAN'S CERTIFICATE FROM THE


State Board of Medical Registration and Examination,


TO Samuel Vagn M. D.


140.92


FILCO.


JUL 16,8.07 AM 1897 Filed


189


E. L. WILSON CLK. P. C. CT.


Clerk


County.


WX. B. BURFORD, PRINTER, INDIANAPOLIS


Form No. 6.


No. 3194


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of " An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing. penalties, and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897, Samuel Pagin M. D.,


of the County of Partir in the State of Indiana, whose


post office address is. Valparaíso Indiana


has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that ....... he is the legal possessor of a Licerise


issued to the person named therein ; that .he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of Carter County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


SEAZ


1.


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. 12 day of. Dily 1897


President.


Secretary.


--...


Physician's Application -FOR- LICENSE.


hymanStPalmar Applicant.


DIPLOMA CLAUSE.


Date of Diploma,


Smart14wh-


1880


Name of College, Halmuniain


Filed august- 1889


---


Clerk.


Wm. B. Burford, Printer, Indianapolis.


708


PHYSICIAN'S APPLICATION FOR LICENSE. ( DIPLOMA CLAUSE.)


STATE OF INDIANA, Partes County,)


SCT:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Lyman a Palmen who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885; and said applicant being duly sworn, on oath says that .. he is a regular graduate of Hahnemann Mer Colei


of Chicago Olives


in the State of


Decenni


the same being a reputable medical


college, and that _he holds a diploma dated march14ct, 1880, duly


issued to harra by the proper authorities of said college


Dywan & Palmer


Subscribed and sworn to by said applicant before me, this 15ch day


of Индия , 1889.


Witness, my hand and seal of said Court.


IQ Drafour


CLERK.


STATE OF INDIANA,


Pastã


County,


SCT:


The undersigned, Clerk of the Circuit Court within and for said County and State. hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by said affiant at the time such application was made. 1


Witness, said Clerk and seul of said Court, this.


15ch


day


PORTER (


.


.


......


of august


1889


1


I. Q.Drafun


CLERK.


Physician's Application


FOR


LICENSE.


Chas. Fr. Peck.


Applicant.


DIPLOMA CLAUSE. '


Date of Diploma, March 1809


Name of College, Bellevue Hospital Medical College


Filed June 7th 6


. 188. I. R. Drapier Clerk.


Wm. B. Burford, Printer, Indianapolis


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA, Porter County, sct:


Before the undersigned, Clerle of the Circuit Court within and for said County and State, personally appeared Charles of, Deck who


now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that .... he is a regular graduate of Bellevue Hospital Michail


Collega.


in the State of


new York


the same being a reputable medical


college, and that .... he holds a diploma dated Zach , 1869, duly


issued to her by the proper authorities of said college.


Subscribed and sworn to by said applicant before me this ych .day


of


1886


WITNESS my hand and seal of said Court.


CLERK.


STATE OF INDIANA,


Cesta :


County,)


sct :


The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.


WITNESS said Clerk and seal of said Court, this.


day of.


1886


CLERK.


PHYSICIAN'S CERTIFICATE


RADE ETATE


FROM THE


State Board of Medical Registration and Examination® JOTTA


Freedom Piles M. D.


Filed Sie 7 Th 189


Clerkc.


SI Wilson Portes .County.


WM. B. BURFORD, PRINTER, INDIANAPOLIS


Form No. 6.


No. 5752


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of " An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified,"


approved March 8, 1897,


Freeda M Files


M. D.,


of the County of .;


0900


Portes


in the State of Indiana, whose


post office address is


Valparaiso


has made application for a certificate authorizing a license to practice Medicine, Surgery


and Obstetrics in said State, and upon evidence presented it appears that che is the legal possessor of a diploma from Hahnemann Medical


College, of Chicago, Illinois, dated march 23, 1899


issued to the person named therein , that he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Parter .County, is entitled to a.


license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal. at Indianapolis, this ..; 5 day of. 1899.


ATEACARDO SEAL


.STATS NOIJN 0 Chungion UND


. President.


OTTARTEX DER. SKOL


PHYSICIAN'S CERTIFICATE


FROM THE


State Board of Medical Registration and Examination


TO


Ellawell M. D.


Filed


FILLED.


190.


JAN 21, 8.43 AM 1900


C. S. PEIRCE


Clerk .:


... CLK. P. C. CT.


County.


WM. B. BURFORD PRINT. INDIPL#.


No. 7046


Physician's Certificate on Examination.


THIS IS TO CERTIFY, That, pursuant to the provisions of "An act regulating the practice of Medicine, Surgery and Obstetrics, providing for the issuing of licenses to practice, providing for the appointment of a State Board of Medical Registration and Examination and defining their duties, defining certain misdemeanors and providing penalties and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897. Amended March 3, 1899, and March 11, 1901.


Edgar Howard Powell M. D., of the County of Porter in the State of Indiana, whose post office address Valparaiso has made application for a certificate authorizing is


a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented by himit appears that he is the legal possessor of a Diploma issued by the University and Bellevue Hospital medical College of new york city, dated Jame 4, 1903


the said College being in good standing with this Board, and ..... he has complied with the law in all respects and has taken the examination required by this Board upon the following subjects, viz:


Anatomy, Physiology, Gynecology, Obstetrics, Theory and Practice of Medicine, Materia Medica and Therapeutics, Chemistry, Surgery, Histology, Pathology, Bacteriology, Hygiene, Medical Jurisprudence, Opthalmology, Otology, Rhinology, Laryngology and Dermatology;


and has obtained the necessary per cent. required on the foregoing branches, and upon the presentation of this certificate to the Clerk of. Partir County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


INDIANA SAYAS REGISTRATI AMINALION


IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this 3 day


of. august 1904


BHI banfield 8.f.


2 .. President.


Secretary.


Physician's Application FOR LICENSE.


Pratt D.R. Applicant.


DIPLOMA CLAUSE.


Date of Diploma,


188


Name of College,


Filed Dec 30th . 188.3 J.R.Drapier .


Clerk.


Wm. B. Burford, Printer, Indianapolis Box 708


TAJOS A


:1


il


---


7710)


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA, Destes County,)


sct:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared A. Q. Pratt who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that .... he is a regular graduate of Unwant of Michigan


in the State of michigan the same being a reputable medical college, and that __ he holds a diploma dated. march 284, 1860, duly 00 issued to hed by the proper authorities of said college.


1


Subscribed and sworn to by said applicant before me this.


2ml


.day


of December 1885


WITNESS my hand and seal of said Court.


J.R. Drafour


CLERK.


1


STATE OF INDIANA,


County,) sct :


The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.


1)


WITNESS said Clerk and seal of said Court, this.


30ch


day of.


December


1885


PARTE


1


CLERK ...


INDIANI


.


1


PHYSICIAN'S * APPLICATIONK-


-FOR- > =LICENSE.


Nr tohu Newton Tanger ARDACANT.


DIPLOMA + CLAUSE.


FILED MAR 99 1895 8. 6. 0/ries. Clark Porter Circuit Court,


Filed March 29 8 95 Ela Viel Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


Inter


State of Indiana, County, sci:


Before me, Clerk of the Circuit Court within and for said County and State, personally


appeared


Dr. John Martin Ganger


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly


sworn, on oath says that he is a regular graduate of. Medical Department


the same being a reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid.


It Rang


Subscribed and sworn to before me, this


day of


-


1 March 7880 and I certify that said affiant exhibited


to me the diploma referred to in this affidavit.


Clerk.


#PHYSICIAN'S * APPLICATIONK


-FOR -- =LICENSE.


APPLICANT.


DIPLOMA + CLAUSE.


Filed


Smarch 21 h 86


6.6 Orlice


Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana, Porter


County, sct:


Before me, Clerk of the Circuit Court within and for said County and State, personally appeared J. D. Pay.


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the


General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly


sworn, on oath says that he is a regular graduate of.


The Madras


University, Media and that


is same boing a reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid.


Subscribed and sworn to before me, this twenty-first ( day of March 1884, and I certify that said affiant exhibited


to me the diploma referred to in this affidavit


Clerk.


1


= Anglo Vedic College founded by Natheraw Shaw, Akober and Auringjab. About 1605. Frederick IV of Denmark ob- tained a charter from the University of Halle, Germany. TO WHOM IT MAY CONCERN, that Tadaypaly Vecraragava Roy hax pursued according to the requirements of medical studies of this institution, two courses of lectures, viz: Anatomy, Physiology, Materia Medica, Chemistry and Obstetrics, having graduated January 2, 1879.


Maharajah Dalleep Sing, M. D. Mahajarah Goodlab Sing, M. D. Rajab Dhyan Sing , M. D.


Secundrabad,


Krishna District,


Presidency of Madras,


British India.


Valparaiso, Indiana, -- Porter County --


March 21, 1894.


I, Tadaypaly Veeraragava Roy, do hereby certify that the above and foregoing is a true and correct translation of diploma granted to me by the Faculty of the "Anglo Vedic " College, located at Madras, Indiar


28


M.D.


Subscribed and Aware to be fores re plis 21st March 1894


Garten & Court


7


PHYSICIAN'S CERTIFICATE „FROM THE State Board of Medical Registration and Examination


TO Barney Rubin M. D.


FILED. AUG= 4,3.5 4 PM 1897


E. L. WILSON


Filed


CLK. P. C. CT.


189


Clerk ..


County.


WK. B. BURFORD, PRINTER, INDIANAPOLIS


No. 3488


Form No. 6.


Physician's Certificate.


STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.


This is to Certify, That, pursuant to the provisions of " An Act regulating the practice of Medicine, Surgery and Obstetrics; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897, Barney Rubino M. D.,


in the State of Indiana, whose of the County of. Portero


post office address is


Chesterton


Indiana


has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that ...... he is the legal possessor of a. Licences


issued to the person named therein ; that . ...... he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Porte County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


IN WITNESS WHEREOF, the said Board of Medical Registration


and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this 12 day


of. July 1897


President.


Harryer, la Secretary.


#PHYSICIAN'S * APPLICATIONK


-FOR-


=LICENSE. 2


APPLICANT.


DIPLOMA + CLAUSE,


Filed


9- 11 -


1885


Clerk.


2


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana,


Porta


County, sct:


Before me, Clerk of the Circuit Court within and for said County and State, personally


appeared


oto Hear Stuxland


who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being duly sworn, on oath says that he is a regular graduate of.


University of Chicago Del




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