The holder whose full name is Kettenis, Lia Rothbaum,come from Bloomington IN,hold the Physician license(NO.01063824A) which status is Active.
| Name | Kettenis, Lia Rothbaum |
|---|---|
| License Number | 01063824A |
| License Type | Physician |
| License Status | Active |
| City | Bloomington |
| State | IN |