Indiana
Professional Licensing Agency
Nicholas Brittain Countryman
Medical Residency Permit
License number
11012807A
Date granted
06/08/2005
Date expires
06/30/2009
Class
Medical Residency Permit
Status
Expired
Address
Carmel IN 46032
indianalicensing.org
ID 5972166
LAST UPDATED 2024-04-25 00:10:03 UTC
LAST UPDATED 2024-04-25 00:10:03 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.