Indiana
Professional Licensing Agency
Angela Vandenburg Miller
Medical Residency Permit
License number
11011162A
Date granted
06/18/2002
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Expired
Address
South Bend IN 46615
indianalicensing.org
ID 5995868
LAST UPDATED 2026-04-01 18:48:17 UTC
LAST UPDATED 2026-04-01 18:48:17 UTC
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