Indiana
Professional Licensing Agency
Penny LaRuth White
Physician
License number
01062279A
Date granted
05/31/2006
Date expires
10/31/2013
Class
Physician
Status
Active
Address
Bloomingdale IL 60108
indianalicensing.org
ID 6028617
LAST UPDATED 2024-04-18 08:44:46 UTC
LAST UPDATED 2024-04-18 08:44:46 UTC
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