Indiana
Professional Licensing Agency
BA HAN
Physician
License number
01032299A
Date granted
02/17/1983
Date expires
06/30/1986
Class
Physician
Status
Expired Non-Renewable
Address
HIGHLAND MILLS NY 10930
indianalicensing.org
ID 6060638
LAST UPDATED 2024-03-11 02:50:34 UTC
LAST UPDATED 2024-03-11 02:50:34 UTC
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