The holder whose full name is Adams, Brian Allen,come from Fort Wayne IN,hold the Medical Residency Permit license(NO.11012199A) which status is Superceded.
| Name | Adams, Brian Allen |
|---|---|
| License Number | 11012199A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |