The holder whose full name is Dismuke, Angela Lea,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11017191A) which status is Expired.
| Name | Dismuke, Angela Lea |
|---|---|
| License Number | 11017191A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |