The holder whose full name is Izah, Augustine Ikechukwu,come from Merrillville IN,hold the Medical Residency Permit license(NO.11005971A) which status is Expired.
| Name | Izah, Augustine Ikechukwu |
|---|---|
| License Number | 11005971A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Merrillville |
| State | IN |