The holder whose full name is Vandermolen, Larry Wayne,come from Indianapolis IN,hold the CSR-Physician Assistant license(NO.10001177B) which status is Expired.
| Name | Vandermolen, Larry Wayne |
|---|---|
| License Number | 10001177B |
| License Type | CSR-Physician Assistant |
| License Status | Expired |
| City | Indianapolis |
| State | IN |