Indiana
Professional Licensing Agency
Anthony David Dennis
Medical Residency Permit
License number
11008235A
Date granted
07/01/1997
Date expires
06/30/1999
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 5978604
LAST UPDATED 2026-04-03 21:35:50 UTC
LAST UPDATED 2026-04-03 21:35:50 UTC
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