Daniel George Branam
Medical Residency Permit
Indiana 11012381A Superceded
This Indiana license was held by Daniel George Branam. The license is no longer active. It was granted on 06/16/2004 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 11012381A
- Category: Medical Residency Permit
- Status: Superceded
- Date Granted: 06/16/2004 (about 20 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
Fort Wayne IN 46804