Larissa M Dimitrov
Medical Residency Permit
Indiana 11012117A Superceded
This Indiana license was held by Larissa M Dimitrov. The license is no longer active. It was granted on 06/01/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 11012117A
- Category: Medical Residency Permit
- Status: Superceded
- Date Granted: 06/01/2004 (almost 20 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Address
westfield IN 46074-1106