Indiana
Professional Licensing Agency
Dean Byron Ricks
Medical Residency Permit
License number
11007034A
Date granted
06/21/1994
Date expires
05/31/1997
Class
Medical Residency Permit
Status
Expired
Address
Marion IN 46952
indianalicensing.org
ID 5988155
LAST UPDATED 2026-04-14 05:04:26 UTC
LAST UPDATED 2026-04-14 05:04:26 UTC
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