Peter Robert Ansorge

Medical Residency Permit

Indiana  11012358A   Expired

This Indiana license was held by Peter Robert Ansorge. The license is no longer active. It was granted on 06/15/2004 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 11012358A
  • Category: Medical Residency Permit
  • Status: Expired
  • Date Granted: 06/15/2004 (about 22 years ago)
  • Expiry Date: 06/30/2007 (almost 19 years ago)

LOCATIONS

A Address

Lafayette IN 47904