The holder whose full name is Forshell, Karin Plym,come from Portage IN,hold the Physician license(NO.01028807A) which status is Active.
| Name | Forshell, Karin Plym |
|---|---|
| License Number | 01028807A |
| License Type | Physician |
| License Status | Active |
| City | Portage |
| State | IN |