Indiana
Professional Licensing Agency
Karen Jo Pentella
Temporary Medical Doctor Permit
License number
99061222A
Date granted
03/14/2014
Date expires
06/14/2014
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46802
indianalicensing.org
ID 27838571
LAST UPDATED 2024-04-12 07:48:59 UTC
LAST UPDATED 2024-04-12 07:48:59 UTC
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