The holder whose full name is LOTUACO, LUISA G,come from GRIFFITH IN,hold the Physician license(NO.01026143A) which status is Expired Non-Renewable.
| Name | LOTUACO, LUISA G |
|---|---|
| License Number | 01026143A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | GRIFFITH |
| State | IN |