The holder whose full name is Kolmodin, Walter Douglas,come from Granger IN,hold the Limited Podiatry TMP license(NO.41000169A) which status is Expired.
| Name | Kolmodin, Walter Douglas |
|---|---|
| License Number | 41000169A |
| License Type | Limited Podiatry TMP |
| License Status | Expired |
| City | Granger |
| State | IN |