Indiana
Professional Licensing Agency
Nina P. Levenda
Medical Residency Permit
License number
11012005A
Date granted
05/17/2004
Date expires
06/30/2007
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46814
indianalicensing.org
ID 5979496
LAST UPDATED 2024-04-14 13:36:25 UTC
LAST UPDATED 2024-04-14 13:36:25 UTC
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