Indiana
Professional Licensing Agency
Jennifer Sussan Mundell
Medical Residency Permit
License number
11017049A
Date granted
05/17/2013
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Active
Address
Jeffersonville IN 47130
indianalicensing.org
ID 5985654
LAST UPDATED 2024-04-02 20:26:09 UTC
LAST UPDATED 2024-04-02 20:26:09 UTC
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