The holder whose full name is DESOUSA, ALONSO L,come from INDIANAPOLIS IN,hold the Physician license(NO.01026802A) which status is Expired Non-Renewable.
Name | DESOUSA, ALONSO L |
---|---|
License Number | 01026802A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |