The holder whose full name is Basavaraja, Hire Matada,come from Muncie IN,hold the Physician license(NO.01028315A) which status is Active.
| Name | Basavaraja, Hire Matada |
|---|---|
| License Number | 01028315A |
| License Type | Physician |
| License Status | Active |
| City | Muncie |
| State | IN |