Indiana
Professional Licensing Agency
William Norval Farabaugh
Temporary Medical Doctor Permit
License number
99013108A
Date granted
06/15/2004
Date expires
09/15/2004
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
South Bend IN 46614
indianalicensing.org
ID 6139344
LAST UPDATED 2024-04-04 08:01:43 UTC
LAST UPDATED 2024-04-04 08:01:43 UTC
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