The holder whose full name is House, Angela Lori,come from Beech Grove IN,hold the Medical Residency Permit license(NO.11011229A) which status is Superceded.
| Name | House, Angela Lori |
|---|---|
| License Number | 11011229A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Beech Grove |
| State | IN |