The holder whose full name is Basavatia, Ram A.,come from Crown Point IN,hold the Physicist - Health license(NO.XP002176) which status is Active.
| Name | Basavatia, Ram A. |
|---|---|
| License Number | XP002176 |
| License Type | Physicist - Health |
| License Status | Active |
| City | Crown Point |
| State | IN |