The holder whose full name is Houghton, Adam Daniel,come from South Bend IN,hold the Medical Residency Permit license(NO.11015561A) which status is Superceded.
| Name | Houghton, Adam Daniel |
|---|---|
| License Number | 11015561A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | South Bend |
| State | IN |