Mahala Reta Patrick

Medical Fellowship Permit

Indiana  73000088A   Active

This Indiana license is held by Mahala Reta Patrick. The license is currently active. It was granted on 06/19/2014 and expired on 06/30/2015

LICENSE DETAILS

  • License Number: 73000088A
  • Category: Medical Fellowship Permit
  • Status: Active
  • Date Granted: 06/19/2014 (almost 11 years ago)
  • Expiry Date: 06/30/2015 (almost 10 years ago)

LOCATIONS

A Address

South Bend IN 46601