Indiana
Professional Licensing Agency
DOUGLAS KENT ANDERSON
Medical Residency Permit
License number
11005297A
Date granted
07/01/1990
Date expires
06/30/1992
Class
Medical Residency Permit
Status
Expired
Address
ZIONSVILLE IN 46077
indianalicensing.org
ID 5999767
LAST UPDATED 2024-02-03 11:06:42 UTC
LAST UPDATED 2024-02-03 11:06:42 UTC
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