Indiana
Professional Licensing Agency
KELLY DEANE BIRT
Physician Assistant
License number
10000500A
Date granted
06/14/2001
Date expires
06/30/2002
Class
Physician Assistant
Status
Expired
Address
Indianapolis IN 46260
indianalicensing.org
ID 8390538
LAST UPDATED 2024-03-16 02:18:49 UTC
LAST UPDATED 2024-03-16 02:18:49 UTC
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