The holder whose full name is CHUA, FARIDA ISIP,come from Munster IN,hold the Physician license(NO.01025104A) which status is Expired Non-Renewable.
| Name | CHUA, FARIDA ISIP |
|---|---|
| License Number | 01025104A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Munster |
| State | IN |