Indiana
Professional Licensing Agency
Valerie Ann Omicioli
Temporary Medical Doctor Permit
License number
99063752A
Date granted
09/17/2014
Date expires
12/17/2014
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Indianapolis IN 46204
indianalicensing.org
ID 27839667
LAST UPDATED 2024-04-22 02:12:44 UTC
LAST UPDATED 2024-04-22 02:12:44 UTC
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