Indiana
Professional Licensing Agency
Blair McDevitt Brengle
Medical Residency Permit
License number
11006527A
Date granted
06/14/1993
Date expires
06/30/1995
Class
Medical Residency Permit
Status
Expired
Address
Indianapolis IN 46260
indianalicensing.org
ID 5983285
LAST UPDATED 2026-05-16 07:52:33 UTC
LAST UPDATED 2026-05-16 07:52:33 UTC
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