Indiana
Professional Licensing Agency
ELIZABETH LEA COE
Medical Residency Permit
License number
11004698A
Date granted
07/01/1988
Date expires
06/30/1989
Class
Medical Residency Permit
Status
Expired
Address
SOUTH BEND IN 46615
indianalicensing.org
ID 5996119
LAST UPDATED 2024-05-02 00:28:44 UTC
LAST UPDATED 2024-05-02 00:28:44 UTC
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