Indiana
Professional Licensing Agency
Glenn Stephen Coats
Medical Residency Permit
License number
11016250A
Date granted
06/16/2011
Date expires
06/30/2012
Class
Medical Residency Permit
Status
Expired
Address
Fort Wayne IN 46814
indianalicensing.org
ID 5978967
LAST UPDATED 2024-04-17 14:17:52 UTC
LAST UPDATED 2024-04-17 14:17:52 UTC
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