The holder whose full name is SUSEC, THOMAS MARIO,come from INDIANAPOLIS IN,hold the Physician license(NO.01052922A) which status is Expired Non-Renewable.
| Name | SUSEC, THOMAS MARIO |
|---|---|
| License Number | 01052922A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |