Indiana
Professional Licensing Agency
Krishna B. Datta
Medical Residency Permit
License number
11011440A
Date granted
05/22/2003
Date expires
06/30/2006
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 5979257
LAST UPDATED 2024-03-06 12:28:50 UTC
LAST UPDATED 2024-03-06 12:28:50 UTC
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