Indiana
Professional Licensing Agency
Mandy Lyn Ortgiesen Harris
Medical Residency Permit
License number
11012503A
Date granted
10/20/2004
Date expires
06/30/2010
Class
Medical Residency Permit
Status
Superceded
Address
Brownsburg IN 46112
indianalicensing.org
ID 5970124
LAST UPDATED 2024-02-02 23:01:21 UTC
LAST UPDATED 2024-02-02 23:01:21 UTC
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