Indiana
Professional Licensing Agency
Elicia Lauren Harris
Medical Residency Permit
License number
11015095A
Date granted
06/19/2009
Date expires
06/30/2011
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46825
indianalicensing.org
ID 5978911
LAST UPDATED 2024-03-30 19:19:39 UTC
LAST UPDATED 2024-03-30 19:19:39 UTC
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