Indiana
Professional Licensing Agency
Dean Edward Chamberlain, Jr.
Medical Fellowship Permit
License number
73000068A
Date granted
08/05/2013
Date expires
06/30/2014
Class
Medical Fellowship Permit
Status
Expired
Address
South Bend IN 46601
indianalicensing.org
ID 5966038
LAST UPDATED 2024-05-10 23:12:00 UTC
LAST UPDATED 2024-05-10 23:12:00 UTC
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