The holder whose full name is Boddu, Aditya R.,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11014320A) which status is Superceded.
Name | Boddu, Aditya R. |
---|---|
License Number | 11014320A |
License Type | Medical Residency Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |