Indiana
Professional Licensing Agency
John O. Collins
Temporary Medical Doctor Permit
License number
99048400A
Date granted
08/26/2011
Date expires
02/26/2012
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 6131180
LAST UPDATED 2024-03-05 06:55:08 UTC
LAST UPDATED 2024-03-05 06:55:08 UTC
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