The holder whose full name is Mattar, Wissam Elias,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11012889A) which status is Expired.
| Name | Mattar, Wissam Elias |
|---|---|
| License Number | 11012889A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |