Indiana
Professional Licensing Agency
David William Hart
Medical Residency Permit
License number
11011518A
Date granted
05/27/2003
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Superceded
Address
Bloomington IN 47401
indianalicensing.org
ID 5969011
LAST UPDATED 2026-05-10 03:17:29 UTC
LAST UPDATED 2026-05-10 03:17:29 UTC
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