License holder summary

Jennifer Phan is a Medical Residency Permit licensed to practice in Indiana. The address on file for Jennifer Phan is Greenwood IN 46143. This licensed professional license is not current. The license was granted 05/28/2009 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Jennifer Phan
Medical Residency Permit
License number
11014885A
Date granted
05/28/2009
Date expires
06/30/2012
Class
Medical Residency Permit
Status
Superceded
Address
Greenwood IN 46143
indianalicensing.org
ID 5981790
LAST UPDATED 2024-02-01 02:52:05 UTC

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