Indiana
Professional Licensing Agency
Nathan Arlen Phelps
Medical Residency Permit
License number
11016294A
Date granted
06/22/2011
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Expired
Address
Mishawaka IN 46545
indianalicensing.org
ID 5989619
LAST UPDATED 2024-05-14 04:00:34 UTC
LAST UPDATED 2024-05-14 04:00:34 UTC
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