Indiana
Professional Licensing Agency
Michael W. LaGrange
Medical Residency Permit
License number
11012714A
Date granted
06/03/2005
Date expires
06/30/2008
Class
Medical Residency Permit
Status
Superceded
Address
Bloomington IN 47401
indianalicensing.org
ID 5969290
LAST UPDATED 2024-02-29 11:54:11 UTC
LAST UPDATED 2024-02-29 11:54:11 UTC
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