The holder whose full name is Smith, Tanisha,come from INDIANAPOLIS IN,hold the Podiatrist Temporary Permit license(NO.99042970A) which status is Superceded.
| Name | Smith, Tanisha |
|---|---|
| License Number | 99042970A |
| License Type | Podiatrist Temporary Permit |
| License Status | Superceded |
| City | INDIANAPOLIS |
| State | IN |