Indiana
Professional Licensing Agency
Elena Anatolie Dolgonos
Medical Residency Permit
License number
11009919A
Date granted
07/01/2000
Date expires
06/30/2003
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 5978898
LAST UPDATED 2024-04-06 05:50:00 UTC
LAST UPDATED 2024-04-06 05:50:00 UTC
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