Indiana
Professional Licensing Agency
Keith R Fish
Medical Residency Permit
License number
11007181A
Date granted
11/01/1994
Date expires
12/01/1994
Class
Medical Residency Permit
Status
Expired
Address
Bloomington IN 47408
indianalicensing.org
ID 5969166
LAST UPDATED 2026-05-20 17:16:53 UTC
LAST UPDATED 2026-05-20 17:16:53 UTC
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