Indiana
Professional Licensing Agency
MARYAM MASSOUMI
Medical Residency Permit
License number
11007246A
Date granted
07/01/1995
Date expires
06/30/1997
Class
Medical Residency Permit
Status
Expired
Address
CARMEL IN 46032
indianalicensing.org
ID 5971923
LAST UPDATED 2026-04-30 08:52:39 UTC
LAST UPDATED 2026-04-30 08:52:39 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.