Indiana
Professional Licensing Agency
Dana Scott Balderrama
Medical Residency Permit
License number
11011810A
Date granted
06/24/2003
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Expired
Address
New Albany IN 47150
indianalicensing.org
ID 5991779
LAST UPDATED 2024-05-14 17:45:15 UTC
LAST UPDATED 2024-05-14 17:45:15 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.