Indiana
Professional Licensing Agency
Douglas Robert Liepert
Temporary Medical Doctor Permit
License number
99042125A
Date granted
05/06/2010
Date expires
08/06/2010
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
South Bend IN 46635-1475
indianalicensing.org
ID 6139247
LAST UPDATED 2024-02-26 11:43:14 UTC
LAST UPDATED 2024-02-26 11:43:14 UTC
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