The holder whose full name is Davis, James Allen,come from Columbus IN,hold the Medical Residency Permit license(NO.11008639A) which status is Superceded.
| Name | Davis, James Allen |
|---|---|
| License Number | 11008639A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Columbus |
| State | IN |