Indiana
Professional Licensing Agency
MARK ALAN ERICKSON
Medical Residency Permit
License number
11007222A
Date granted
07/01/1995
Date expires
06/30/1999
Class
Medical Residency Permit
Status
Expired
Address
FORT WAYNE IN 46825
indianalicensing.org
ID 5979348
LAST UPDATED 2024-04-08 16:56:48 UTC
LAST UPDATED 2024-04-08 16:56:48 UTC
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