Indiana
Professional Licensing Agency
LAN LANNY LEE
Temporary Physician Assistant Permit
License number
99004242A
Date granted
10/15/2001
Date expires
07/15/2002
Class
Temporary Physician Assistant Permit
Status
Expired
Address
Indianapolis IN 46260
indianalicensing.org
ID 8393452
LAST UPDATED 2024-05-02 00:15:35 UTC
LAST UPDATED 2024-05-02 00:15:35 UTC
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