Indiana
Professional Licensing Agency
WILLIAM RICHARD CLARK
Medical Residency Permit
License number
11004501A
Date granted
06/24/1988
Date expires
06/30/1995
Class
Medical Residency Permit
Status
Expired
Address
Indianapolis IN 46250
indianalicensing.org
ID 5985408
LAST UPDATED 2026-05-28 20:37:53 UTC
LAST UPDATED 2026-05-28 20:37:53 UTC
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