Indiana
Professional Licensing Agency
Robert Lee Broghammer
Medical Residency Permit
License number
11009846A
Date granted
07/01/2000
Date expires
06/30/2001
Class
Medical Residency Permit
Status
Expired
Address
Waterloo IA 50703
indianalicensing.org
ID 5998560
LAST UPDATED 2026-05-16 13:02:56 UTC
LAST UPDATED 2026-05-16 13:02:56 UTC
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