Indiana
Professional Licensing Agency
Michael W. Blanton
Temporary Medical Doctor Permit
License number
99007383A
Date granted
12/12/2002
Date expires
03/12/2003
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Evansville IN 47713
indianalicensing.org
ID 6130617
LAST UPDATED 2024-04-18 07:14:43 UTC
LAST UPDATED 2024-04-18 07:14:43 UTC
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