AMBRE LANE OLSEN

Medical Residency Permit

Indiana  11008154A   Expired

This Indiana license was held by AMBRE LANE OLSEN. The license is no longer active. It was granted on 10/01/1996 and expired on 12/31/1996

LICENSE DETAILS

  • License Number: 11008154A
  • Category: Medical Residency Permit
  • Status: Expired
  • Date Granted: 10/01/1996 (over 27 years ago)
  • Expiry Date: 12/31/1996 (over 27 years ago)

LOCATIONS

A Address

PORTLAND OR 97214