The holder whose full name is Taha, Ibrahim A.,come from Mishawaka IN,hold the Limited Podiatry TMP license(NO.41000190A) which status is Expired.
| Name | Taha, Ibrahim A. |
|---|---|
| License Number | 41000190A |
| License Type | Limited Podiatry TMP |
| License Status | Expired |
| City | Mishawaka |
| State | IN |