Indiana
Professional Licensing Agency
NITA RAE GERIG
Medical Residency Permit
License number
11005616A
Date granted
07/01/1991
Date expires
06/30/1996
Class
Medical Residency Permit
Status
Expired
Address
SOUTH BEND IN 46601
indianalicensing.org
ID 5996660
LAST UPDATED 2024-03-01 23:47:50 UTC
LAST UPDATED 2024-03-01 23:47:50 UTC
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