The holder whose full name is Burk, Phillip R,come from Granger IN,hold the Limited Podiatry TMP license(NO.41000197A) which status is Expired.
| Name | Burk, Phillip R |
|---|---|
| License Number | 41000197A |
| License Type | Limited Podiatry TMP |
| License Status | Expired |
| City | Granger |
| State | IN |