Mandy Lyn Ortgiesen Harris
Medical Residency Permit
Indiana 11012503A Superceded
This Indiana license was held by Mandy Lyn Ortgiesen Harris. The license is no longer active. It was granted on 10/20/2004 and expired on 06/30/2010
LICENSE DETAILS
- License Number: 11012503A
- Category: Medical Residency Permit
- Status: Superceded
- Date Granted: 10/20/2004 (almost 22 years ago)
- Expiry Date: 06/30/2010 (about 16 years ago)
LOCATIONS
A Address
Brownsburg IN 46112