NICHOLAS EARNEST POULOS

Medical Residency Permit

Indiana  11007698A   Expired

This Indiana license was held by NICHOLAS EARNEST POULOS. The license is no longer active. It was granted on 01/04/1996 and expired on 06/30/1996

LICENSE DETAILS

  • License Number: 11007698A
  • Category: Medical Residency Permit
  • Status: Expired
  • Date Granted: 01/04/1996 (over 30 years ago)
  • Expiry Date: 06/30/1996 (about 30 years ago)

LOCATIONS

A Address

NEWPORT BEACH CA 92660