Indiana
Professional Licensing Agency
Russell V. Maples
Temporary Medical Doctor Permit
License number
99009323A
Date granted
09/08/2003
Date expires
12/08/2003
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Fort Wayne IN 46804
indianalicensing.org
ID 6131287
LAST UPDATED 2024-03-17 23:56:03 UTC
LAST UPDATED 2024-03-17 23:56:03 UTC
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