The holder whose full name is CHUA, MARLENE VILLAFUERTE,come from Sellersburg IN,hold the Physician license(NO.01054312A) which status is Active.
Name | CHUA, MARLENE VILLAFUERTE |
---|---|
License Number | 01054312A |
License Type | Physician |
License Status | Active |
City | Sellersburg |
State | IN |