The holder whose full name is ITTEMAKIN, UNGSANA,come from CROWN POINT IN,hold the Physician license(NO.01028861A) which status is Active.
| Name | ITTEMAKIN, UNGSANA |
|---|---|
| License Number | 01028861A |
| License Type | Physician |
| License Status | Active |
| City | CROWN POINT |
| State | IN |