The holder whose full name is Nguyen, Lan Thanh,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11016812A) which status is Active.
| Name | Nguyen, Lan Thanh |
|---|---|
| License Number | 11016812A |
| License Type | Medical Residency Permit |
| License Status | Active |
| City | Indianapolis |
| State | IN |