The holder whose full name is LICZNERSKI, BARBARA TERESA,come from INDIANAPOLIS IN,hold the Physician license(NO.01042127A) which status is Expired Non-Renewable.
Name | LICZNERSKI, BARBARA TERESA |
---|---|
License Number | 01042127A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |