The holder whose full name is Banguis, Lucia P,come from Shelbyville IN,hold the Physician license(NO.01025498A) which status is Expired Non-Renewable.
| Name | Banguis, Lucia P |
|---|---|
| License Number | 01025498A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Shelbyville |
| State | IN |