Charles Kevin Martin
Temporary Physician Assistant Permit
Indiana 99030819A Superceded
This Indiana license was held by Charles Kevin Martin. The license is no longer active. It was granted on 02/04/2008 and expired on 11/04/2008
LICENSE DETAILS
- License Number: 99030819A
- Category: Temporary PA Permit
- Status: Superceded
- Date Granted: 02/04/2008 (over 17 years ago)
- Expiry Date: 11/04/2008 (over 16 years ago)
LOCATIONS
A Address
Fort Wayne IN 46818