License holder summary

David Alan Goertzen is a Medical Residency Permit licensed to practice in Indiana. The address on file for David Alan Goertzen is Fort Wayne IN 46845. This licensed professional license is not current. The license was granted 07/01/1989 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

David Alan Goertzen
Medical Residency Permit
License number
11004808A
Date granted
07/01/1989
Date expires
06/30/1993
Class
Medical Residency Permit
Status
Expired
Address
Fort Wayne IN 46845
indianalicensing.org
ID 5978784
LAST UPDATED 2024-04-27 07:40:05 UTC

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