The holder whose full name is Coppinger, Brian Joseph,come from Indianapolis IN,hold the Medical Residency Permit license(NO.11015140A) which status is Superceded.
| Name | Coppinger, Brian Joseph |
|---|---|
| License Number | 11015140A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |