Indiana
Professional Licensing Agency
RUSSELL E HAVENS
Physician
License number
01011941A
Date granted
08/24/1927
Date expires
06/30/1991
Class
Physician
Status
Expired Non-Renewable
Address
FORT WAYNE IN 46825
indianalicensing.org
ID 6053991
LAST UPDATED 2024-04-17 05:28:26 UTC
LAST UPDATED 2024-04-17 05:28:26 UTC
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