Indiana
Professional Licensing Agency
Monte Lane Elgarten
Temporary Medical Doctor Permit
License number
99059266A
Date granted
10/02/2013
Date expires
01/02/2014
Class
Temporary Medical Doctor Permit
Status
Expired
Address
Goshen NY 10924
indianalicensing.org
ID 6131812
LAST UPDATED 2026-05-24 15:00:09 UTC
LAST UPDATED 2026-05-24 15:00:09 UTC
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