Indiana
Professional Licensing Agency
Alberta Lee Henderson
Medical Residency Permit
License number
11006639A
Date granted
07/01/1993
Date expires
06/30/1995
Class
Medical Residency Permit
Status
Expired
Address
South Bend IN 46617
indianalicensing.org
ID 5995839
LAST UPDATED 2024-03-14 07:02:25 UTC
LAST UPDATED 2024-03-14 07:02:25 UTC
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