Derrick William Dvorak
Temporary Medical Doctor Permit
Indiana 99042489A Superceded
This Indiana license was held by Derrick William Dvorak. The license is no longer active. It was granted on 05/26/2010 and expired on 08/26/2010
LICENSE DETAILS
- License Number: 99042489A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 05/26/2010 (about 15 years ago)
- Expiry Date: 08/26/2010 (almost 15 years ago)
LOCATIONS
A Address
Fort Wayne IN 46804