License holder summary

David A Haggstrom is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for David A Haggstrom is Indianapolis IN 46202. This licensed professional license is not current. The license was granted 06/19/2007 and expired on 09/19/2007.

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Superceded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

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