The holder whose full name is Takase-Sanchez, Michelle Miki,come from Indianapolis IN,hold the Physician license(NO.01071242A) which status is Active.
| Name | Takase-Sanchez, Michelle Miki |
|---|---|
| License Number | 01071242A |
| License Type | Physician |
| License Status | Active |
| City | Indianapolis |
| State | IN |