Indiana
Professional Licensing Agency
OTIS T GORDON
Medical Residency Permit
License number
11009653A
Date granted
06/24/1999
Date expires
06/23/2001
Class
Medical Residency Permit
Status
Expired
Address
Carmel IN 46032
indianalicensing.org
ID 5972202
LAST UPDATED 2026-05-19 07:10:18 UTC
LAST UPDATED 2026-05-19 07:10:18 UTC
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