The holder whose full name is ZUKIEWICZ, MARY L,come from TERRE HAUTE IN,hold the Physician Assistant license(NO.10000163A) which status is Expired.
| Name | ZUKIEWICZ, MARY L |
|---|---|
| License Number | 10000163A |
| License Type | Physician Assistant |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |