Chanwang Park

Medical Residency Permit

Indiana  11015365A   Superceded

This Indiana license was held by Chanwang Park. The license is no longer active. It was granted on 05/10/2010 and expired on 06/30/2014

LICENSE DETAILS

  • License Number: 11015365A
  • Category: Medical Residency Permit
  • Status: Superceded
  • Date Granted: 05/10/2010 (about 14 years ago)
  • Expiry Date: 06/30/2014 (almost 10 years ago)

LOCATIONS

A Address

Carmel IN 46032