Indiana
Professional Licensing Agency
BRIAN WILLIAM SCHACK
Medical Residency Permit
License number
11007904A
Date granted
07/01/1996
Date expires
06/30/1998
Class
Medical Residency Permit
Status
Expired
Address
INDIANAPOLIS IN 46254
indianalicensing.org
ID 27750349
LAST UPDATED 2024-04-01 16:15:06 UTC
LAST UPDATED 2024-04-01 16:15:06 UTC
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