The holder whose full name is Horani, Imad Eddin,come from Fort Wayne IN,hold the Physician license(NO.01034917A) which status is Active.
| Name | Horani, Imad Eddin |
|---|---|
| License Number | 01034917A |
| License Type | Physician |
| License Status | Active |
| City | Fort Wayne |
| State | IN |