Indiana
Professional Licensing Agency
Kristen E Allen
Physician
License number
01060469A
Date granted
04/06/2005
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Portage IN 46368
indianalicensing.org
ID 6093842
LAST UPDATED 2024-02-16 01:48:55 UTC
LAST UPDATED 2024-02-16 01:48:55 UTC
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