Indiana
Professional Licensing Agency
Christopher W. LaSalle
Medical Residency Permit
License number
11006929A
Date granted
07/01/1994
Date expires
06/30/1996
Class
Medical Residency Permit
Status
Expired
Address
Fort Wayne IN 46825
indianalicensing.org
ID 5978725
LAST UPDATED 2024-03-25 10:54:02 UTC
LAST UPDATED 2024-03-25 10:54:02 UTC
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