The holder whose full name is Lewis, Heather Anne,come from New Albany IN,hold the Medical Residency Permit license(NO.11013583A) which status is Superceded.
| Name | Lewis, Heather Anne |
|---|---|
| License Number | 11013583A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | New Albany |
| State | IN |