Kellen Tage Hansen
Medical Residency Permit
Indiana 11016863A Superceded
This Indiana license was held by Kellen Tage Hansen. The license is no longer active. It was granted on 06/22/2012 and expired on 06/30/2014
LICENSE DETAILS
- License Number: 11016863A
- Category: Medical Residency Permit
- Status: Superceded
- Date Granted: 06/22/2012 (almost 12 years ago)
- Expiry Date: 06/30/2014 (almost 10 years ago)
LOCATIONS
A Address
Muncie IN 47303