Indiana
Professional Licensing Agency
Dean Lane Maynard
Physician
License number
01050134A
Date granted
02/11/1999
Date expires
06/30/2005
Class
Physician
Status
Expired Non-Renewable
Address
Anderson SC 29626
indianalicensing.org
ID 6022864
LAST UPDATED 2024-04-20 11:42:01 UTC
LAST UPDATED 2024-04-20 11:42:01 UTC
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