Jerry Dallas Headdy, Jr
Medical Residency Permit
Indiana 11005204A Superceded
This Indiana license was held by Jerry Dallas Headdy, Jr. The license is no longer active. It was granted on 06/01/1990 and expired on 06/30/1992
LICENSE DETAILS
- License Number: 11005204A
- Category: Medical Residency Permit
- Status: Superceded
- Date Granted: 06/01/1990 (about 36 years ago)
- Expiry Date: 06/30/1992 (almost 34 years ago)
LOCATIONS
A Address
Bloomington IN 47403