Indiana
Professional Licensing Agency
Dennis Baskaran Chairman
Medical Residency Permit
License number
11014624A
Date granted
07/23/2008
Date expires
06/30/2009
Class
Medical Residency Permit
Status
Expired
Address
Urbana IL 61801
indianalicensing.org
ID 5998021
LAST UPDATED 2026-03-31 16:30:26 UTC
LAST UPDATED 2026-03-31 16:30:26 UTC
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