Indiana
Professional Licensing Agency
Mandy Lea Sorlie
Medical Residency Permit
License number
11013734A
Date granted
05/22/2007
Date expires
06/30/2008
Class
Medical Residency Permit
Status
Superceded
Address
South Bend IN 46637
indianalicensing.org
ID 5996493
LAST UPDATED 2024-02-22 06:52:06 UTC
LAST UPDATED 2024-02-22 06:52:06 UTC
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