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
LAST UPDATED 2024-02-24 18:44:18 UTC
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