BENJAMIN MATTHEW HICKS
Medical Residency Permit
Indiana 11006025A Expired
This Indiana license was held by BENJAMIN MATTHEW HICKS. The license is no longer active. It was granted on 07/01/1992 and expired on 06/30/1996
LICENSE DETAILS
- License Number: 11006025A
- Category: Medical Residency Permit
- Status: Expired
- Date Granted: 07/01/1992 (about 34 years ago)
- Expiry Date: 06/30/1996 (about 30 years ago)
LOCATIONS
A Address
FORT WAYNE IN 46804-4133