Indiana
Professional Licensing Agency
Diana Lynn Lackey
Temporary Medical Doctor Permit
License number
99027845A
Date granted
07/10/2007
Date expires
10/10/2007
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46814
indianalicensing.org
ID 6131139
LAST UPDATED 2026-04-17 17:34:57 UTC
LAST UPDATED 2026-04-17 17:34:57 UTC
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