The holder whose full name is Kucenic, Michael James,come from Indianapolis IN,hold the Physician license(NO.01062202A) which status is Expired Non-Renewable.
| Name | Kucenic, Michael James |
|---|---|
| License Number | 01062202A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |