License Information

The holder whose full name is ACOSTA, AMADOR A,come from VALPARAISO IN,hold the Physician license(NO.01028221A) which status is Expired Non-Renewable.

NameACOSTA, AMADOR A
License Number01028221A
License TypePhysician
License StatusExpired Non-Renewable
CityVALPARAISO
StateIN

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