Indiana
Professional Licensing Agency
Catherine Cecilia Moffitt
Medical Residency Permit
License number
11016618A
Date granted
05/29/2012
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46802
indianalicensing.org
ID 5978683
LAST UPDATED 2024-02-28 02:32:32 UTC
LAST UPDATED 2024-02-28 02:32:32 UTC
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