The holder whose full name is MAGNO, FAUSTO ODON,come from MERRILLVILLE IN,hold the Medical Residency Permit license(NO.11009694A) which status is Superceded.
| Name | MAGNO, FAUSTO ODON |
|---|---|
| License Number | 11009694A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | MERRILLVILLE |
| State | IN |