Indiana
Professional Licensing Agency
Brian William Balanoff
Medical Residency Permit
License number
11008628A
Date granted
07/08/1997
Date expires
06/07/1998
Class
Medical Residency Permit
Status
Expired
Address
Indianapolis IN 46268
indianalicensing.org
ID 5983282
LAST UPDATED 2024-04-22 02:51:55 UTC
LAST UPDATED 2024-04-22 02:51:55 UTC
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