Beulah Theodore Penumudi
Medical Residency Permit
Indiana 11010552A Expired
This Indiana license was held by Beulah Theodore Penumudi. The license is no longer active. It was granted on 06/04/2001 and expired on 06/30/2004
LICENSE DETAILS
- License Number: 11010552A
- Category: Medical Residency Permit
- Status: Expired
- Date Granted: 06/04/2001 (over 25 years ago)
- Expiry Date: 06/30/2004 (about 22 years ago)
LOCATIONS
A Address
Fort Wayne IN 46825