The holder whose full name is MACATANGAY, EDELINO L,come from BLOOMINGTON IN,hold the Physician license(NO.01023149A) which status is Active.
| Name | MACATANGAY, EDELINO L |
|---|---|
| License Number | 01023149A |
| License Type | Physician |
| License Status | Active |
| City | BLOOMINGTON |
| State | IN |