The holder whose full name is Fogel, Richard Ira,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11006053A) which status is Expired.
| Name | Fogel, Richard Ira |
|---|---|
| License Number | 11006053A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |