The holder whose full name is Farmer, Jeffrey Lee,come from Avon IN,hold the Medical Residency Permit license(NO.11014238A) which status is Superceded.
| Name | Farmer, Jeffrey Lee |
|---|---|
| License Number | 11014238A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Avon |
| State | IN |