The holder whose full name is Farrales, Brena,come from Marion IN,hold the Physician license(NO.01021910A) which status is Expired Non-Renewable.
| Name | Farrales, Brena |
|---|---|
| License Number | 01021910A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Marion |
| State | IN |