Indiana
Professional Licensing Agency
Derrick William Dvorak
Temporary Medical Doctor Permit
License number
99042489A
Date granted
05/26/2010
Date expires
08/26/2010
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 6131129
LAST UPDATED 2024-02-28 01:18:24 UTC
LAST UPDATED 2024-02-28 01:18:24 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.