The holder whose full name is Kopczynski, Bogumila,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11012709A) which status is Superceded.
| Name | Kopczynski, Bogumila |
|---|---|
| License Number | 11012709A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |