License holder summary

Marc A Booth is a Medical Residency Permit licensed to practice in Indiana. The address on file for Marc A Booth is West Lafayette IN 47906. This licensed professional license is not current. The license was granted 07/01/1998 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Marc A Booth
Medical Residency Permit
License number
11009102A
Date granted
07/01/1998
Date expires
06/30/1999
Class
Medical Residency Permit
Status
Superceded
Address
West Lafayette IN 47906
indianalicensing.org
ID 5998686
LAST UPDATED 2024-02-29 21:21:34 UTC

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