Indiana
Professional Licensing Agency
Nicholas Andrew Koontz
Medical Residency Permit
License number
11014368A
Date granted
06/02/2008
Date expires
06/30/2011
Class
Medical Residency Permit
Status
Superceded
Address
Fishers IN 46037
indianalicensing.org
ID 5977956
LAST UPDATED 2024-04-15 06:05:55 UTC
LAST UPDATED 2024-04-15 06:05:55 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.