Indiana
Professional Licensing Agency
Sarah Antalis
Physician
License number
01061099A
Date granted
08/03/2005
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Lafayette IN 47904
indianalicensing.org
ID 6069484
LAST UPDATED 2024-04-03 15:55:00 UTC
LAST UPDATED 2024-04-03 15:55:00 UTC
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