The holder whose full name is THORDARSON, SMARI,come from La Porte IN,hold the Physician license(NO.01039747A) which status is Active.
| Name | THORDARSON, SMARI |
|---|---|
| License Number | 01039747A |
| License Type | Physician |
| License Status | Active |
| City | La Porte |
| State | IN |