License holder summary

Brian Michael Worm is a Medical Residency Permit licensed to practice in Indiana. The address on file for Brian Michael Worm is Jeffersonville IN 47130. This licensed professional license is not current. The license was granted 07/01/1995 and expired on 06/30/1996.

Indiana

Professional Licensing Agency

Brian Michael Worm
Medical Residency Permit
License number
11007322A
Date granted
07/01/1995
Date expires
06/30/1996
Class
Medical Residency Permit
Status
Expired
Address
Jeffersonville IN 47130
indianalicensing.org
ID 5985569
LAST UPDATED 2024-04-16 23:02:49 UTC

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