Indiana
Professional Licensing Agency
Richard F. Otten
Medical Residency Permit
License number
11012202A
Date granted
06/03/2004
Date expires
06/30/2006
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46845
indianalicensing.org
ID 5979545
LAST UPDATED 2024-02-19 11:34:53 UTC
LAST UPDATED 2024-02-19 11:34:53 UTC
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