Indiana
Professional Licensing Agency
RUSSELL LAING MALCOLM JR
Physician
License number
01019092A
Date granted
09/07/1960
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
MIDDLETOWN OH 45042
indianalicensing.org
ID 6078167
LAST UPDATED 2024-03-30 18:54:11 UTC
LAST UPDATED 2024-03-30 18:54:11 UTC
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