License holder summary

Marcia L Petrick is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Marcia L Petrick is Valparaiso IN 46383. This licensed professional license is not current. The license was granted 11/05/2013 and expired on 02/05/2014.

Indiana

Professional Licensing Agency

Marcia L Petrick
Temporary Medical Doctor Permit
License number
99059681A
Date granted
11/05/2013
Date expires
02/05/2014
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Valparaiso IN 46383
indianalicensing.org
ID 12003421
LAST UPDATED 2024-01-03 17:00:10 UTC

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