The holder whose full name is Mencias, Adelbert Jay,come from South Bend IN,hold the Medical Residency Permit license(NO.11008883A) which status is Expired.
| Name | Mencias, Adelbert Jay |
|---|---|
| License Number | 11008883A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | South Bend |
| State | IN |