Indiana
Professional Licensing Agency
Maria C. Manalo
Temporary Medical Doctor Permit
License number
99012635A
Date granted
05/10/2004
Date expires
08/10/2004
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 6131202
LAST UPDATED 2024-03-27 03:41:49 UTC
LAST UPDATED 2024-03-27 03:41:49 UTC
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