License holder summary

Kevin Matthew Henderzahs is a Medical Residency Permit licensed to practice in Indiana. The address on file for Kevin Matthew Henderzahs is Mc Cordsville IN 46055. This licensed professional license is not current. The license was granted 06/08/2001 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Kevin Matthew Henderzahs
Medical Residency Permit
License number
11010630A
Date granted
06/08/2001
Date expires
06/30/2005
Class
Medical Residency Permit
Status
Superceded
Address
Mc Cordsville IN 46055
indianalicensing.org
ID 5988587
LAST UPDATED 2024-03-11 14:36:02 UTC

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