License holder summary

Lisa Annette Mims is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Lisa Annette Mims is Indianapolis IN 46202. This licensed professional license is not current. The license was granted 12/22/2003 and expired on 03/22/2004.

Indiana

Professional Licensing Agency

Lisa Annette Mims
Temporary Medical Doctor Permit
License number
99010990A
Date granted
12/22/2003
Date expires
03/22/2004
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Indianapolis IN 46202
indianalicensing.org
ID 6133372
LAST UPDATED 2024-02-11 03:58:16 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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