Indiana
Professional Licensing Agency
Rosita Lucia Fredricha Miranda
Physician
License number
01072603A
Date granted
05/10/2013
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette IN 47905
indianalicensing.org
ID 11983344
LAST UPDATED 2024-04-13 18:52:59 UTC
LAST UPDATED 2024-04-13 18:52:59 UTC
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