Shane R. Fancher
Medical Residency Permit
Indiana 11005977A Expired
This Indiana license was held by Shane R. Fancher. The license is no longer active. It was granted on 05/01/1992 and expired on 04/30/1994
LICENSE DETAILS
- License Number: 11005977A
- Category: Medical Residency Permit
- Status: Expired
- Date Granted: 05/01/1992 (about 33 years ago)
- Expiry Date: 04/30/1994 (about 31 years ago)
LOCATIONS
A Address
Decatur IL 62521