License holder summary

Dana Scott Balderrama is a Medical Residency Permit licensed to practice in Indiana. The address on file for Dana Scott Balderrama is New Albany IN 47150. This licensed professional license is not current. The license was granted 06/24/2003 and expired on 06/30/2004.

Indiana

Professional Licensing Agency

Dana Scott Balderrama
Medical Residency Permit
License number
11011810A
Date granted
06/24/2003
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Expired
Address
New Albany IN 47150
indianalicensing.org
ID 5991779
LAST UPDATED 2024-04-12 12:28:35 UTC

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