Indiana
Professional Licensing Agency
Justin J Lightburn
Medical Residency Permit
License number
11014411A
Date granted
06/05/2008
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Superceded
Address
Zionsville IN 46077
indianalicensing.org
ID 5999943
LAST UPDATED 2024-03-26 00:04:55 UTC
LAST UPDATED 2024-03-26 00:04:55 UTC
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