The holder whose full name is Fajardo, Alyssa Danielle,come from Zionsville IN,hold the Medical Residency Permit license(NO.11012602A) which status is Superceded.
| Name | Fajardo, Alyssa Danielle |
|---|---|
| License Number | 11012602A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Zionsville |
| State | IN |