Indiana
Professional Licensing Agency
KENNETH DAVID HACKMEYER
Medical Residency Permit
License number
11005048A
Date granted
07/01/1989
Date expires
06/30/1990
Class
Medical Residency Permit
Status
Expired
Address
SOUTH BEND IN 46615
indianalicensing.org
ID 5996423
LAST UPDATED 2024-05-12 07:32:53 UTC
LAST UPDATED 2024-05-12 07:32:53 UTC
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