The holder whose full name is Lora, Melissa Sue,come from Upland IN,hold the Medical Residency Permit license(NO.11012052A) which status is Superceded.
| Name | Lora, Melissa Sue |
|---|---|
| License Number | 11012052A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Upland |
| State | IN |