The holder whose full name is LEMON, DWIGHT A,come from VALPARAISO IN,hold the Medical Residency Permit license(NO.11004344A) which status is Expired.
Name | LEMON, DWIGHT A |
---|---|
License Number | 11004344A |
License Type | Medical Residency Permit |
License Status | Expired |
City | VALPARAISO |
State | IN |