Indiana
Professional Licensing Agency
Mary A. Gonzalez-Howard
Temporary Medical Doctor Permit
License number
99042179A
Date granted
05/10/2010
Date expires
08/10/2010
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Bloomington IN 47401
indianalicensing.org
ID 6128092
LAST UPDATED 2024-02-17 18:14:59 UTC
LAST UPDATED 2024-02-17 18:14:59 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.