The holder whose full name is Baskin, Mark Harold,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11015108A) which status is Expired.
| Name | Baskin, Mark Harold |
|---|---|
| License Number | 11015108A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |