License holder summary

RUSSELL KEVIN HAVLICEK is a Medical Residency Permit licensed to practice in Indiana. The address on file for RUSSELL KEVIN HAVLICEK is INDIANAPOLIS IN 46278. This licensed professional license is not current. The license was granted 06/24/1993 and expired on 06/23/1995.

Indiana

Professional Licensing Agency

RUSSELL KEVIN HAVLICEK
Medical Residency Permit
License number
11006460A
Date granted
06/24/1993
Date expires
06/23/1995
Class
Medical Residency Permit
Status
Expired
Address
INDIANAPOLIS IN 46278
indianalicensing.org
ID 27751592
LAST UPDATED 2024-02-24 18:44:18 UTC

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