The holder whose full name is Beach, Amanda R.,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11014385A) which status is Superceded.
| Name | Beach, Amanda R. |
|---|---|
| License Number | 11014385A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |