The holder whose full name is TANTENGCO, MARIA VICTORIA,come from INDIANAPOLIS IN,hold the Physician license(NO.01041719A) which status is Expired Non-Renewable.
| Name | TANTENGCO, MARIA VICTORIA |
|---|---|
| License Number | 01041719A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |