The holder whose full name is LOTHARIUS, EDYTHE THOMAS,come from CARMEL IN,hold the Medical Residency Permit license(NO.11005769A) which status is Expired.
| Name | LOTHARIUS, EDYTHE THOMAS |
|---|---|
| License Number | 11005769A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | CARMEL |
| State | IN |