The holder whose full name is Barry, Timothy P.,come from Jasper IN,hold the Limited Podiatry TMP license(NO.41000199A) which status is Superceded.
| Name | Barry, Timothy P. |
|---|---|
| License Number | 41000199A |
| License Type | Limited Podiatry TMP |
| License Status | Superceded |
| City | Jasper |
| State | IN |