Indiana
Professional Licensing Agency
Shannon L. Kauffman
Medical Residency Permit
License number
11011611A
Date granted
06/02/2003
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Superceded
Address
Dayton OH 45458
indianalicensing.org
ID 5974977
LAST UPDATED 2026-04-01 16:57:43 UTC
LAST UPDATED 2026-04-01 16:57:43 UTC
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