The holder whose full name is Bridge, Andrew Thomas,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11013198A) which status is Superceded.
| Name | Bridge, Andrew Thomas |
|---|---|
| License Number | 11013198A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |