The holder whose full name is SALUD, ANTONIO DE VILLA,come from Valparaiso IN,hold the Physician license(NO.01055217A) which status is Expired Non-Renewable.
Name | SALUD, ANTONIO DE VILLA |
---|---|
License Number | 01055217A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Valparaiso |
State | IN |