License holder summary

Susan Theobald Crook is a Medical Residency Permit licensed to practice in Indiana. The address on file for Susan Theobald Crook is Carmel IN 46032. This licensed professional license is not current. The license was granted 06/20/2003 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Susan Theobald Crook
Medical Residency Permit
License number
11011786A
Date granted
06/20/2003
Date expires
06/30/2007
Class
Medical Residency Permit
Status
Superceded
Address
Carmel IN 46032
indianalicensing.org
ID 5972630
LAST UPDATED 2024-03-31 00:24:11 UTC

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