License holder summary

LORETTA ANN BAUSTIAN is a Medical Residency Permit licensed to practice in Indiana. The address on file for LORETTA ANN BAUSTIAN is EVANSTON IL 60201. This licensed professional license is not current. The license was granted 07/01/1997 and expired on 06/30/1998.

Indiana

Professional Licensing Agency

LORETTA ANN BAUSTIAN
Medical Residency Permit
License number
11008369A
Date granted
07/01/1997
Date expires
06/30/1998
Class
Medical Residency Permit
Status
Expired
Address
EVANSTON IL 60201
indianalicensing.org
ID 5975979
LAST UPDATED 2024-03-11 17:56:46 UTC

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