Theodore John Matuga
Temporary Medical Doctor Permit
Indiana 99017013A Superceded
This Indiana license was held by Theodore John Matuga. The license is no longer active. It was granted on 06/03/2005 and expired on 09/03/2005
LICENSE DETAILS
- License Number: 99017013A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 06/03/2005 (about 20 years ago)
- Expiry Date: 09/03/2005 (almost 20 years ago)
LOCATIONS
A Address
Bloomington MN 55425