Indiana
Professional Licensing Agency
Sushma Tatineni
Medical Residency Permit
License number
11017611A
Date granted
05/22/2014
Date expires
06/30/2015
Class
Medical Residency Permit
Status
Active
Address
Newburgh IN 47630
indianalicensing.org
ID 27756512
LAST UPDATED 2024-04-18 21:23:16 UTC
LAST UPDATED 2024-04-18 21:23:16 UTC
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