The holder whose full name is HASSAN, WASIMA BAHA,come from LAFAYETTE IN,hold the Medical Residency Permit license(NO.11006882A) which status is Expired.
| Name | HASSAN, WASIMA BAHA |
|---|---|
| License Number | 11006882A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |