The holder whose full name is Wilson, Fredericka Alona,come from Indianapolis IN,hold the Podiatrist Temporary Permit license(NO.99039680A) which status is Superceded.
Name | Wilson, Fredericka Alona |
---|---|
License Number | 99039680A |
License Type | Podiatrist Temporary Permit |
License Status | Superceded |
City | Indianapolis |
State | IN |