Indiana
Professional Licensing Agency
Scott MacBain Hartzell
Temporary Medical Doctor Permit
License number
99064357A
Date granted
10/16/2014
Date expires
01/16/2015
Class
Temporary Medical Doctor Permit
Status
Active
Address
Lewisburg PA 17837
indianalicensing.org
ID 27840154
LAST UPDATED 2024-02-23 17:44:14 UTC
LAST UPDATED 2024-02-23 17:44:14 UTC
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