Indiana
Professional Licensing Agency
Jeffrey Peterson Levenda
Medical Residency Permit
License number
11015420A
Date granted
05/14/2010
Date expires
06/30/2012
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46814
indianalicensing.org
ID 5979070
LAST UPDATED 2024-04-04 13:18:20 UTC
LAST UPDATED 2024-04-04 13:18:20 UTC
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