Indiana
Professional Licensing Agency
John Truman Hall
Physician
License number
01073975A
Date granted
05/05/2014
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Mount Vernon IL 62864
indianalicensing.org
ID 27818995
LAST UPDATED 2024-03-06 09:27:16 UTC
LAST UPDATED 2024-03-06 09:27:16 UTC
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