Indiana
Professional Licensing Agency
Jessica Wynne Statz
Medical Residency Permit
License number
11012232A
Date granted
06/04/2004
Date expires
06/30/2005
Class
Medical Residency Permit
Status
Expired
Address
South Bend IN 46634
indianalicensing.org
ID 5996308
LAST UPDATED 2026-08-15 16:52:21 UTC
LAST UPDATED 2026-08-15 16:52:21 UTC
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