Indiana
Professional Licensing Agency
KATHLEEN DIAN BOHNKE
Medical Residency Permit
License number
11008270A
Date granted
07/01/1997
Date expires
06/30/1999
Class
Medical Residency Permit
Status
Expired
Address
Fort Wayne IN 46845
indianalicensing.org
ID 5979208
LAST UPDATED 2024-04-21 16:46:53 UTC
LAST UPDATED 2024-04-21 16:46:53 UTC
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