Indiana
Professional Licensing Agency
Samuel Moore Horton
Medical Residency Permit
License number
11012544A
Date granted
05/10/2005
Date expires
06/30/2006
Class
Medical Residency Permit
Status
Superceded
Address
Lafayette IN 47905
indianalicensing.org
ID 5986671
LAST UPDATED 2024-02-27 16:05:34 UTC
LAST UPDATED 2024-02-27 16:05:34 UTC
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