Indiana
Professional Licensing Agency
David A Haggstrom
Temporary Medical Doctor Permit
License number
99027519A
Date granted
06/19/2007
Date expires
09/19/2007
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Indianapolis IN 46202
indianalicensing.org
ID 6132943
LAST UPDATED 2024-03-19 14:57:20 UTC
LAST UPDATED 2024-03-19 14:57:20 UTC
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