Indiana
Professional Licensing Agency
Matthew Edward Hennig
Medical Residency Permit
License number
11011310A
Date granted
07/08/2002
Date expires
06/30/2009
Class
Medical Residency Permit
Status
Expired
Address
Jeffersonville IN 47130
indianalicensing.org
ID 5985703
LAST UPDATED 2024-02-03 17:34:26 UTC
LAST UPDATED 2024-02-03 17:34:26 UTC
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