The holder whose full name is Uyesugi, Betty Anne,come from Columbus IN,hold the Medical Residency Permit license(NO.11013332A) which status is Superceded.
| Name | Uyesugi, Betty Anne |
|---|---|
| License Number | 11013332A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Columbus |
| State | IN |