License holder summary

HEATHER ELIZABETH MANGAM is a Medical Residency Permit licensed to practice in Indiana. The address on file for HEATHER ELIZABETH MANGAM is INDIANAPOLIS IN 46268. This licensed professional license is not current. The license was granted 07/01/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

HEATHER ELIZABETH MANGAM
Medical Residency Permit
License number
11007379A
Date granted
07/01/1995
Date expires
06/30/1997
Class
Medical Residency Permit
Status
Expired
Address
INDIANAPOLIS IN 46268
indianalicensing.org
ID 5983859
LAST UPDATED 2024-03-26 15:08:17 UTC

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