Russell V. Maples
Temporary Medical Doctor Permit
Indiana 99009323A Superceded
This Indiana license was held by Russell V. Maples. The license is no longer active. It was granted on 09/08/2003 and expired on 12/08/2003
LICENSE DETAILS
- License Number: 99009323A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 09/08/2003 (over 21 years ago)
- Expiry Date: 12/08/2003 (over 21 years ago)
LOCATIONS
A Address
Fort Wayne IN 46804