License holder summary

Kerry Suzanne Dernbach is a Medical Residency Permit licensed to practice in Indiana. The address on file for Kerry Suzanne Dernbach is Granger IN 46530. This licensed professional license is not current. The license was granted 07/07/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Kerry Suzanne Dernbach
Medical Residency Permit
License number
11011880A
Date granted
07/07/2003
Date expires
06/30/2005
Class
Medical Residency Permit
Status
Expired
Address
Granger IN 46530
indianalicensing.org
ID 5981070
LAST UPDATED 2024-02-28 19:15:42 UTC

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