The holder whose full name is Lombard, Emily Elizabeth,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11012885A) which status is Expired.
| Name | Lombard, Emily Elizabeth |
|---|---|
| License Number | 11012885A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |