Indiana
Professional Licensing Agency
Lana Jeradeh Boursoulian
Physician
License number
01066702A
Date granted
05/18/2009
Date expires
10/31/2013
Class
Physician
Status
Expired
Address
Nashville TN 37221
indianalicensing.org
ID 6085802
LAST UPDATED 2024-04-08 22:52:30 UTC
LAST UPDATED 2024-04-08 22:52:30 UTC
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