Indiana
Professional Licensing Agency
Lance Miles Maynard
Medical Residency Permit
License number
11016393A
Date granted
10/14/2011
Date expires
06/30/2012
Class
Medical Residency Permit
Status
Expired
Address
Dublin OH 43016
indianalicensing.org
ID 5975209
LAST UPDATED 2026-06-01 10:47:09 UTC
LAST UPDATED 2026-06-01 10:47:09 UTC
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