Indiana
Professional Licensing Agency
Rachel Hollingsworth
Medical Residency Permit
License number
11012246A
Date granted
06/08/2004
Date expires
06/30/2007
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46845
indianalicensing.org
ID 5979536
LAST UPDATED 2024-05-04 18:30:14 UTC
LAST UPDATED 2024-05-04 18:30:14 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.