The holder whose full name is White, Kermit E.,come from Anderson IN,hold the Event Physician license(NO.PH40400002) which status is Expired Non-Renewable.
| Name | White, Kermit E. |
|---|---|
| License Number | PH40400002 |
| License Type | Event Physician |
| License Status | Expired Non-Renewable |
| City | Anderson |
| State | IN |