Indiana
Professional Licensing Agency
Katie Lane Johnson
Temporary Medical Doctor Permit
License number
99064474A
Date granted
10/24/2014
Date expires
01/24/2015
Class
Temporary Medical Doctor Permit
Status
Active
Address
Nashville TN 37203
indianalicensing.org
ID 27840948
LAST UPDATED 2024-04-24 05:25:46 UTC
LAST UPDATED 2024-04-24 05:25:46 UTC
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