The holder whose full name is Matlaga, Brian Richard,come from Indianapolis IN,hold the Physician license(NO.01059315A) which status is Expired Non-Renewable.
| Name | Matlaga, Brian Richard |
|---|---|
| License Number | 01059315A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |