License holder summary

Bernadeta Leegan Wibisono is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Bernadeta Leegan Wibisono is Munster IN 46321. This licensed professional license is not current. The license was granted 05/15/2014 and expired on 08/15/2014.

Indiana

Professional Licensing Agency

Bernadeta Leegan Wibisono
Temporary Medical Doctor Permit
License number
99062044A
Date granted
05/15/2014
Date expires
08/15/2014
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Munster IN 46321
indianalicensing.org
ID 27840780
LAST UPDATED 2024-03-10 02:54:25 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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