MARIO G MASSULLO
Medical Residency Permit
Indiana 11007180A Expired
This Indiana license was held by MARIO G MASSULLO. The license is no longer active. It was granted on 12/01/1994 and expired on 06/30/1996
LICENSE DETAILS
- License Number: 11007180A
- Category: Medical Residency Permit
- Status: Expired
- Date Granted: 12/01/1994 (over 30 years ago)
- Expiry Date: 06/30/1996 (almost 29 years ago)
LOCATIONS
A Address
Bourbonnais IL 60914