Indiana
Professional Licensing Agency
DOUGLAS DEAN DOCTOR
Medical Residency Permit
License number
11003251A
Date granted
07/01/1987
Date expires
06/30/1988
Class
Medical Residency Permit
Status
Expired
Address
SOUTH BEND IN 46601
indianalicensing.org
ID 5996105
LAST UPDATED 2024-03-02 23:47:54 UTC
LAST UPDATED 2024-03-02 23:47:54 UTC
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