The holder whose full name is LANE, ANETTE C,come from Huntington IN,hold the Medical Residency Permit license(NO.11010236A) which status is Superceded.
| Name | LANE, ANETTE C |
|---|---|
| License Number | 11010236A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Huntington |
| State | IN |