Indiana
Professional Licensing Agency
LEA A DANIELSEN
Medical Residency Permit
License number
11005140A
Date granted
01/08/1990
Date expires
01/07/1991
Class
Medical Residency Permit
Status
Superceded
Address
Athens GA 30605
indianalicensing.org
ID 5967743
LAST UPDATED 2024-04-10 02:38:51 UTC
LAST UPDATED 2024-04-10 02:38:51 UTC
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