The holder whose full name is Johnston, Andrea Leigh,come from Zionsville IN,hold the Medical Residency Permit license(NO.11012573A) which status is Expired.
| Name | Johnston, Andrea Leigh |
|---|---|
| License Number | 11012573A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Zionsville |
| State | IN |