License Information

The holder whose full name is LEMON, DWIGHT A,come from VALPARAISO IN,hold the Medical Residency Permit license(NO.11004344A) which status is Expired.

NameLEMON, DWIGHT A
License Number11004344A
License TypeMedical Residency Permit
License StatusExpired
CityVALPARAISO
StateIN

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