Indiana
Professional Licensing Agency
Mark E Head
Medical Residency Permit
License number
11009255A
Date granted
02/24/1999
Date expires
02/23/2000
Class
Medical Residency Permit
Status
Expired
Address
Jeffersonville IN 47130
indianalicensing.org
ID 5985692
LAST UPDATED 2026-03-11 02:11:33 UTC
LAST UPDATED 2026-03-11 02:11:33 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.