Indiana
Professional Licensing Agency
James Frederick Split
Temporary Medical Doctor Permit
License number
99037308A
Date granted
05/07/2009
Date expires
08/07/2009
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46825
indianalicensing.org
ID 6131171
LAST UPDATED 2024-03-07 09:21:17 UTC
LAST UPDATED 2024-03-07 09:21:17 UTC
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