Indiana
Professional Licensing Agency
Christopher Page LaFollette
Medical Residency Permit
License number
11012703A
Date granted
06/02/2005
Date expires
06/30/2007
Class
Medical Residency Permit
Status
Superceded
Address
Bloomington IN 47401
indianalicensing.org
ID 5968999
LAST UPDATED 2024-03-13 17:32:49 UTC
LAST UPDATED 2024-03-13 17:32:49 UTC
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