Sam Hansen
Temporary Medical Doctor Permit
Indiana 99003194A Superceded
This Indiana license was held by Sam Hansen. The license is no longer active. It was granted on 06/27/2001 and expired on 07/19/2001
LICENSE DETAILS
- License Number: 99003194A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 06/27/2001 (almost 24 years ago)
- Expiry Date: 07/19/2001 (almost 24 years ago)
LOCATIONS
A Address
Lafayette IN 47905-4939