Luis A. Manrique
Temporary Medical Doctor Permit
Indiana 99041779A Superceded
This Indiana license was held by Luis A. Manrique. The license is no longer active. It was granted on 04/05/2010 and expired on 07/05/2010
LICENSE DETAILS
- License Number: 99041779A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 04/05/2010 (about 15 years ago)
- Expiry Date: 07/05/2010 (almost 15 years ago)
LOCATIONS
A Address
Munster IN 46321