Indiana
Professional Licensing Agency
James Gordon Douglas
Temporary Medical Doctor Permit
License number
99045249A
Date granted
12/16/2010
Date expires
03/16/2011
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Bloomington IN 47401
indianalicensing.org
ID 6128037
LAST UPDATED 2024-03-02 15:27:06 UTC
LAST UPDATED 2024-03-02 15:27:06 UTC
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