Indiana
Professional Licensing Agency
Alicia Gabriela Facca
Temporary Medical Doctor Permit
License number
99059669A
Date granted
11/04/2013
Date expires
04/30/2014
Class
Temporary Medical Doctor Permit
Status
Expired
Address
Miami FL 33178
indianalicensing.org
ID 12003005
LAST UPDATED 2024-05-01 21:16:54 UTC
LAST UPDATED 2024-05-01 21:16:54 UTC
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