The holder whose full name is Schaefer, Alex Robert,come from Greenwood IN,hold the Medical Residency Permit license(NO.11015084A) which status is Superceded.
| Name | Schaefer, Alex Robert |
|---|---|
| License Number | 11015084A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Greenwood |
| State | IN |