Indiana
Professional Licensing Agency
VIVIAN CHUA TAN
Medical Residency Permit
License number
11005580A
Date granted
06/22/1991
Date expires
06/22/1992
Class
Medical Residency Permit
Status
Expired
Address
FORT WAYNE IN 46805
indianalicensing.org
ID 5979857
LAST UPDATED 2024-01-28 17:04:56 UTC
LAST UPDATED 2024-01-28 17:04:56 UTC
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