The holder whose full name is Rotta, Alexandre Tellechea,come from Fishers IN,hold the Temporary MD Permit license(NO.99034154A) which status is Superceded.
| Name | Rotta, Alexandre Tellechea |
|---|---|
| License Number | 99034154A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Fishers |
| State | IN |