Indiana
Professional Licensing Agency
Marc A Booth
Medical Residency Permit
License number
11009102A
Date granted
07/01/1998
Date expires
06/30/1999
Class
Medical Residency Permit
Status
Superceded
Address
West Lafayette IN 47906
indianalicensing.org
ID 5998686
LAST UPDATED 2024-05-09 23:09:30 UTC
LAST UPDATED 2024-05-09 23:09:30 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.