Indiana
Professional Licensing Agency
Michelle Elaine Klawiter-Benton
Medical Residency Permit
License number
11012287A
Date granted
06/08/2004
Date expires
06/30/2006
Class
Medical Residency Permit
Status
Superceded
Address
South Bend IN 46628
indianalicensing.org
ID 5996622
LAST UPDATED 2024-04-19 13:09:10 UTC
LAST UPDATED 2024-04-19 13:09:10 UTC
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