Miscellaneous Licenses Porter County, Indiana, Part 20

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


USA > Indiana > Porter County > Miscellaneous Licenses Porter County, Indiana > Part 20


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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.


am have Fruitland


Subscribed and sworn to before me, this


day of


110h


1895, and I certify that said affiant exhibited


to me the diploma referred to in this affidavit.


Clerk.


Naked 9- 5- 5


#PHYSICIAN'S * APPLICATIONK


: - FOR-


Fred Rutland


APPLICANT.


DIPLOMA + CLAUSE.


Filed


March 31 st


1886


E. Le. Wilsoni


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 Fred Rutland


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. Wisconsin Electric Medical College of Silvakes


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. Fred Rutland ·


Subscribed and sworn to before me, this . 0,2L day of branch 1896, and I certify that said affiant exhibited


to me the diploma referred to in this affidavit. S. L. Hilos Clerk.


.... !


1


....


TITJAT!


Physician's Application FOR


LICENSE.


J.D. Ryan


Applicant.


DIPLOMA CLAUSE.


Date of Diploma,


1888 Name of College, Bennett Medica College


Filed


July 2 yl 7885 ОДг. Ххариз Clerk.


Wm. B. Burford, Printer, Indianapolis


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA,


sct:


Porter


County,)


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared. L.a. 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 Micheal Collega


in the State of


the same being a reputable medical


college, and that .... he holds a diploma dated fund isch 1878, duly


issued to have by the proper authorities of said college. -


..


27ch.


.day


Subscribed and sworn to by said applicant before me this.


1882


of July


WITNESS my hand and seal of said Court.


I.Q. Orafour


.


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


Zy ck


day of.


1883


CLERK.


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


GEEN


TO


John a Ryan M. D.


Filed


189.


JUL 15, 3.03 PM 1537


E. L. WILSON


Clerk.


CLK. P. C. CT.


County.


w.n. B. Burford, Printer, indianapolis


Form No. 6.


No. 3761


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, John A. Ryan M. D.,


of the County of Poster


in the State of Indiana, whose


post office address is.


Valparaiso Indique


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. Portes 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 ..... t.dlay SE INDIAN!


of. 1897.


0 President.


Miranyer The


Ft.


CA


îĄ


PHYSICIAN'S CERTIFICATE


FROM THE


State Board of Medical Registration and Examination


TO


Mary a. Sagner, M. D.


Filed


FEB1 5, 10.0 6 AM 1003.


.190.


E. L. WILSON


CLK. P. C. CT.


Clerk


County.


WM. B. SURFORD PRINT. IND'PLS.


No. 6578.


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.


Mary amelia Sagner M. D., of the County of Parter 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 by her it appears that She is the legal possessor of a Diploma issued by the


Kerkük medical College, of Physicians and Surgiono of Keswick, Lowa, dalla april 14-1902.


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. Gister County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.


RATIOW


SEAL INDIANA MINATION


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 9 day of. July 1902


M.C. Melosten MaPi President.


MIVolt W. W Secretary.


.Secretary.


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


F. W. Dassaman. M. D.


Filed


189


AUG31;3.52 AM 1097 Clerk .E.L .- WILSON . County.


WX. B. BURFORD, PRINTPR. ICHNATOIN


No. 5026


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,


JA


M. D.,


of the County of


Bater


in the State of Indiana, whose


post office address is


بسيمة فا


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 Sicurisa


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. orter 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. 3 th. day of 189.


President.


.Secretary.


AFFIDAVIT -OF-


HOUSEHOLDER OR FREEHOLDER


Robert a. Nular


Affiant.


Marshal . kylian Licensee.


TEN YEAR CLAUSE.


Filed luquex 7th 1885


Clerk.


-


Wm. B. Burford, Printer, Indianapolis,


-


AFFIDAVIT OF HOUSEHOLDER OR FREEHOLDER.


STATE OF INDIANA, 1 Partir COUNTY,


(SS:


efore le, Perly of the Circuit Court within and for said/County and State Roberta Dualar who,


personally appeared.


being duly sworn, on oath says that he is a resident Householder por Frecholder of said.


County, and acquainted. with Marchal, Sayles,


an applicant for a License to practice Medicine, Surgery and Obstetrics, under the provis- ions of an Act entitled, ' An. Act regulating the practice of Medicine, Surgery and Obstetrics, etc.," .Approved April 11, 1885, and that to his knowledge said applicant has resided and practiced Medicine, Surgery and Obstetrics in the State of Indiana, continuously for at least ten years immediately preceding the date of the taking effect of said Act. That the places or localities in which_he practiced during said period of ten years, together with the date and length of time in each locality, are as follows:


Previous to


June 1875, OnSayles prac- tired Medicine et Aseveral years in South Bend Dudiana and in Hebron, Chodiaria; Gram about five 1875 w/ to the present twee (aug 7/8) he has practiced medicion to, continually in Nachanação. Sudania and wayof and has


bezal my family physician since 1876


Rano willgo


Subscribed and, sworn to before me, this 7th day of ... august 1885, and I certify that said affiant is a reputable Householder or Freeholder of said. County.


In Witness Whereof, 1 hereunto subscribe my hand and.


affix the seal of said, Court.


793800


COURT


Clerk.


1


Buli.


AFFIDAVIT -OF-


HOUSEHOLDER OR FREEHOLDER


Ja, Sayles,


Afflant.


Mit Sayles Licensee.


TEN YEAR CLAUSE.


File Cluq ych


1885


Wm. B. Burford, Printer, Indianapolis,


AFFIDAVIT OF HOUSEHOLDER OR FREEHOLDER.


STATE OF INDIANA,


Poster


9


SS:


COUNTY,


Before , Clerk of the Circuit Court within and for said County and State personally appeared Y. a. Jayles


1 who,


S' are being duly sworn, on oath says that theyis a resident Householdersor Freeholdersof said. County, and acquainted with. Manshall Fr Dayler.


an applicant for a License to practice Medicine, Surgery and Obstetrics, under the provis- ions of an Act entitled, ' An Act regulating the practice of Medicine, Surgery and Obstetrics, etc.," .Approved April 11, 1885, and that to his knowledge said applicant has resided and practiced Medicine, Surgery and Obstetrics in the State of Indiana, continuously for at least ten years immediately preceding the date of the taking effect of said Act. That the places or localities in which_he practiced during said period of ten years, together with the date and length of time in each locality, are as follows:


Finn april 1867 to Dec 1872 ai Hebron. Porter Chi From Die 1872 To June 1875 in South Bend. From Jame 1875to July 1885 a Valporand,


Subscribed and sworn to before me, this 294


are day of. July


1885, and I certify that said affianisis a reputable Householderfor Freeholders of said. County.


MERCUE


COURT


In Witness Whereof, I hereunto subscribe my hand and.


affix the seal of said. Court.


Clerk.


XPHYSICIAN'S APPLICATION -FOR- =LICENSE .=


Marshal S. Thayles


APPLICANT.


TEN YEAR CLAUSE.


Filed Drabin


1885


Clerk.


Wm. B. Burford, Printer, Indianapolis.


Cont


1:


$9.


PHYSICIAN'S APPLICATIONK


=


- LICENSE. I-


=


(TEN YEAR CLAUSE.)


State of Indiana, Parles ounty, set:


BEFORE ME, Clerk of the Circuit Court within and for said County and State, personally appeared Marshall Gi Sailer


who now makes application for License to practice Medicine, Surgery and Obstetrics under an Act of the General Assembly of the State of Indianu, entitled, "An Act regulating the practice of Medicine, Surgery and Obstetrics, providing for the issuing of Licenses to practice, etc.," approved April 11, 1885, and said applicant being duly sworn, on oath says that _he has resided and practiced Medicine, Surgery and Obstetrics in the State of Indiana continuously for at least ten years immediately preceding the date of the taking effect of said Act. The places or locations in which_he practiced during said period of ten years, together with the date and length of time in each locality, are as follows:


Firmu april 1867 to Dec 1872 in Hebron, Indiana, Arni Dec 1872


to June 1875 in South Bend. : Ffron


Jam 1875to july 1885 in Valparaiso.


manhall FI Day as.


Subscribed and sworn to before me, this 29ch day


5. of July 188.5.


Witness, My hand and Seal of said Court,


1 1 DR. Drapun Clerk.


Physician's Application -FOR-


LICENSE.


Ligge zu Sayles


Applicant,


DIPLOMA CLAUSE.


Date of Diplomas April 10th 1885 Name of College, xudiana Educativa


Medical College Indianapolis Indiana


Filed


188


---


T.I.TORIO


Clerk.


Wm. B. Burford, Printer, Indianapolis.


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


STATE OF INDIANA, Porter County,) SCT:


Before the undersigned, Clerk of the Circuit Court within and, for said County and State, personally appeared Dr. Lizzie Sayles 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 X Indiana Eclectic Medical College Indianapolis Indiana


in the State of the same being a reputable medical


college, and that She holds a diploma dated


April 10th


, 1885, duly


issued to her by the proper authorities of said college


Dr Leggio Sayles


Subscribed and sworn to by said applicant before me, this


August


1882


3.2


2 nd/


day


Witness, my hand and seal of said Court.


Se Otell


CLERK.


STATE OF INDIANA,


Porter


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.


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


and


. day


CIRCUIT @


of ...


August


1882


CLERK.


#PHYSICIAN'S * APPLICATIONK -


-FOR- =LICENSE ..


France


APPLICANT.


DIPLOMA + CLAUSE.


Filed


Aug 6th


18


E Cor


Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana, Center


County, sct:


Before me, Clerk of the Circuit Court within and for said County and State, personally appeared traviens M. Acad


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


Chicago


1


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.


trancio the. Scott


Subscribed and sworn to before me, this


.


10


day of


August 1885,


and I certify that said affiant exhibited


to me the diploma referred to in this affidavit,


6 6 Their Clerk.


#PHYSIGIAN'S * APPLICATIONK


-FOR-


=LIGENSE,


Jucy Acall APPLICANT.


DIPLOMA + CLAUSE.


Filed


Clerk .. .


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


Carter


State of Indiana, County, sct:


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


appeared


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 ogth says that he is a regular graduate of.


Hour " Howan


Medical School


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


Subscribed and sworn to before me, this


6


day of


Auquel


1885 and I certify that said affiant exhibited


to me the diploma referred to in this affidavit.


Date of Diploma Same 16/9.4 Ebahere Clerk.


#PHYSICIAN'S * APPLICATIONK


-FOR -- =LIGENSE.


Dr. Stilliam Fraudlui


Seat


APPLICANT.


DIPLOMA + CLAUSE.


Filed


Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, IND.


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana, Estar


County, sct:


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


appeared


brillian rankin Marzo


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. Ara Calligra


Dexx Drake auto to catis Toria


the same being a reputable Medical College, and the diploma granted by said College, he now exhibits Uma


to the Clerk of the Circuit Court of the County first aforesaid. Trillian ffer 50


Subscribed and sworn to before me, this


- 6th


day of


april


1884, and I certify that said affiant exhibited


to me the diploma referred to in this affidavit


Clerk.


-* PHYSICIAN'S * APPLICATIONK


-FOR-


=LICENSE.


Comestina Schwung :


APPLICANT. DIPLOMA


CLAUSE.


Filed


9-


1885


e. ONziel Clerk.


BAKER & THORNTON, PRINTERS, INDIANAPOLIS, INO.


-


Physician's Application for License.


(DIPLOMA CLAUSE.)


State of Indiana, Forte


County, sct:


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


appeared


Schwarz


who now applies for a license to practice Medicine, Surgery and Obstetrias, 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 same being a reputable Medical College, and the diploma granted by said College,she now exhibits to the Clerk of the Circuit Court of the County first aforesaid.


Subscribed and sworn to before me, this


day of


18 J, and I certify that said affiant exhibited


to me the diploma referred to in this affidavit 2


Clerk.


Dipolonia dated 9-28-95


allsmitt


FILED.


OCT=2,3.47PM 1900


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


+Physician's License.


State of Indiana,


Steuben County, Ss:


Fred Schneider Clerk of the Circuit Court


of Steuben County, in the State of Indiana, do hereby certify that arthur H. Smitte has complied with the laws of the State of Indiana regulating the practice of Medicine, Surgery and Obstetrics in the County and State aforesaid .- See page 257, Olcts 1897.


C


Less my hand and the seal of said Court this 29" day


of March 1902,189


Fired Schneider Clerk.


Republican Print, Angola.


.....


Physician's Application FOR LICENSE.


Deqqis


Applicant.


DIPLOMA CLAUSE.


Date of Diploma, March 224 1885


Name of College,


Michigan Collegaof Medical


Dehoop Such


Filed april 2324 188.8 I.Q. Orakun


Clerk,


Wm. B. Burford, Printer, Indianapoli."


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA,


sct: Poster County,)


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared. Johnd Y. Digginal 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 Michigan Gallega of Medición of Dehors


in the State of , the same being a reputable medical college, and that „he holds a diploma dated March 239 ..... 1885, duly issued to here by the proper authorities of said college.


23kl


day


Subscribed and sworn to by said applicant before me this.


of abril


, 1888


WITNESS my hand and seal of said Court.


&Q. Drapie)


1


CLERK.


STATE OF INDIANA,


sct :


Oister


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.


CU! I WITNESS said Clerk and seal of said Court, this.


2334


PORTER.


day of.


afosil


-,


1888


IQ Drapun


CLERK.


Physician's Application FOR


LICENSE.


O.M.H. Sunder


Applicant.


DIPLOMA CLAUSE.


Date of Diploma,


1888


Name of College,


Su Phisio-medical


Institute lancement


Filed July 16Ch


. 188.8


:: T.


-


.....


Clerk.


Wm. B. Burford, Printer, Indianapolis


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


STATE OF INDIANA,


sct:


County,


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Olha IM H. Sayden 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 The Physio-medical Institute


Benceunaty


in the State of Ohio the same being a reputable medical college, and that he holds a diploma dated February 27ch 1878, duly


issued to heus by the proper authorities of said college.


Q. W. J. Aunder 1, 0,


Subscribed and sworn to by said applicant before me this


16ch


.day


of


Juli


1888.


WITNESS my hand and seal of said Court.


.


CLERK.


11


STATE OF INDIANA,


sct:


Partes


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.


16 ch


day of ..


July


188.8_


1


1


COLLI


J.Q. Drapier


CLERK.


1


T. T. TJAIO


Physician's Application FOR LICENSE.


Lyman Dr. Safer


Applicant.


DIPLOMA CLAUSE.


Date of Diploma, May 2224 188 &


Name of College,


americani Edleche Colega aucunaté Ohio


Filed april 2 3Rd . 1888 Ja Drafour,


Clerk.


Wm. B. Burford, Printer, Indianapolis


PHYSICIAN'S APPLICATION FOR LICENSE.


(DIPLOMA CLAUSE.)


STATE OF INDIANA,


Cortez


County,)


sct:


Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Lyman Y. Safeer 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


American Colectie Collega 7


:


вінсестер


in the State of


Ofco


the same being a reputable medical


college, and that .... he holds a diploma dated May 22 ml 1880, duly


issued to h lucby the proper authorities of said college.


mai


Subscribed and sworn to by said applicant before me this 2324 day


of afoni 188 L


WITNESS my hand and seal of said Court.


......... Grafy


CLERK.


STATE OF INDIANA,


Catã


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.


2324


day of ...


apsi


1888 -


Q Drapun


CLERK.


1


1.


PHYSICIAN'S


Application for License.


Charles th Spaulding


Diploma


THREE YEAR'S CLAUSE. 1 name of College. Hahnemann que real Corrige. South Chicago Del


Filed June 16, 183


Clerk.


Wm. B. Burford, Printer, Indianapolis.


PHYSICIAN'S APPLICATION FOR LICENSE. Diploma fTHREE YEAR'S CLAUSE.] 1


STATE OF INDIANA,


verter County,


sct:


Before the undersigned, Clerk of the Circuit Court of said County and State, personally appeared Dr Charles H. Spaceding who now makes application for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, entitled " An Act regulat- ing the practice of Medicine, Surgery and Obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11, 1885, and said applicant being duly sworn, on oath says, that ...... he has resided, and practiced Medicine, Surgery and Obstetrics, in the State of Indiana, continuously, for at least THREE years immediately preceding the date of the taking effect of said act, and had, prior to said date, attended one full course of lectures that he is a regular graduate of france- mauer Medical College of South Chicago, IL.




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