Indiana
Professional Licensing Agency
Donald A. Urban
Temporary Medical Doctor Permit
License number
99026248A
Date granted
04/10/2007
Date expires
07/10/2007
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46845
indianalicensing.org
ID 6131146
LAST UPDATED 2024-04-28 18:55:22 UTC
LAST UPDATED 2024-04-28 18:55:22 UTC
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