The holder whose full name is Novick, Jason Lyle,come from Crown Point IN,hold the Limited Podiatry TMP license(NO.41000202A) which status is Expired.
| Name | Novick, Jason Lyle |
|---|---|
| License Number | 41000202A |
| License Type | Limited Podiatry TMP |
| License Status | Expired |
| City | Crown Point |
| State | IN |