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
LAST UPDATED 2024-03-11 17:56:46 UTC
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