License holder summary

Marlene C Bultemeyer is a Medical Residency Permit licensed to practice in Indiana. The address on file for Marlene C Bultemeyer is Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 06/08/2005 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Marlene C Bultemeyer
Medical Residency Permit
License number
11012819A
Date granted
06/08/2005
Date expires
06/30/2009
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 5979360
LAST UPDATED 2024-05-20 00:16:03 UTC

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