Indiana
Professional Licensing Agency
Kelly Manahan
Temporary Medical Doctor Permit
License number
99009057A
Date granted
08/11/2003
Date expires
11/30/2003
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Indianapolis IN 46260
indianalicensing.org
ID 6133305
LAST UPDATED 2024-04-10 15:39:41 UTC
LAST UPDATED 2024-04-10 15:39:41 UTC
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