The holder whose full name is M D PARELLO, BENN,come from GRANGER IN,hold the Event Physician license(NO.PH04960002) which status is Expired Non-Renewable.
| Name | M D PARELLO, BENN |
|---|---|
| License Number | PH04960002 |
| License Type | Event Physician |
| License Status | Expired Non-Renewable |
| City | GRANGER |
| State | IN |