The holder whose full name is JOHNSON, BRIAN ALAN,come from MUNCIE IN,hold the Medical Residency Permit license(NO.11004048A) which status is Expired.
| Name | JOHNSON, BRIAN ALAN |
|---|---|
| License Number | 11004048A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | MUNCIE |
| State | IN |