The holder whose full name is Dorwart, Amy Lynn,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11013918A) which status is Superceded.
| Name | Dorwart, Amy Lynn |
|---|---|
| License Number | 11013918A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |