Indiana
Professional Licensing Agency
Rebecca Long
Temporary Medical Doctor Permit
License number
99057098A
Date granted
05/15/2013
Date expires
08/15/2013
Class
Temporary Medical Doctor Permit
Status
Expired
Address
Lebanon PA 17042
indianalicensing.org
ID 6134827
LAST UPDATED 2026-04-19 03:54:45 UTC
LAST UPDATED 2026-04-19 03:54:45 UTC
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