The holder whose full name is DeVane, Gene O.,come from Bloomington IN,hold the Limited Podiatry TMP license(NO.41000212A) which status is Expired.
| Name | DeVane, Gene O. |
|---|---|
| License Number | 41000212A |
| License Type | Limited Podiatry TMP |
| License Status | Expired |
| City | Bloomington |
| State | IN |