The holder whose full name is Haas, Tara L,come from Indianapolis IN,hold the Physician license(NO.01065300A) which status is Expired Non-Renewable.
| Name | Haas, Tara L |
|---|---|
| License Number | 01065300A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |