Indiana
Professional Licensing Agency
Lara Wear Moody
Temporary Medical Doctor Permit
License number
99056964A
Date granted
05/03/2013
Date expires
08/03/2013
Class
Temporary Medical Doctor Permit
Status
Expired
Address
Washington NH 03280
indianalicensing.org
ID 6140383
LAST UPDATED 2024-02-12 14:41:52 UTC
LAST UPDATED 2024-02-12 14:41:52 UTC
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