The holder whose full name is Watford, Lateefah Kibibi,come from Indianapolis IN,hold the Physician license(NO.01057143A) which status is Expired Non-Renewable.
Name | Watford, Lateefah Kibibi |
---|---|
License Number | 01057143A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Indianapolis |
State | IN |