Indiana
Professional Licensing Agency
Mujtaba Fakhruddin Tapal
Temporary Medical Doctor Permit
License number
99012547A
Date granted
04/27/2004
Date expires
07/27/2004
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Evansville IN 47713
indianalicensing.org
ID 6130645
LAST UPDATED 2024-02-07 18:22:31 UTC
LAST UPDATED 2024-02-07 18:22:31 UTC
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