The holder whose full name is PATTERSON, DALE ALAN,come from SOUTH BEND IN,hold the Medical Residency Permit license(NO.11008468A) which status is Expired.
Name | PATTERSON, DALE ALAN |
---|---|
License Number | 11008468A |
License Type | Medical Residency Permit |
License Status | Expired |
City | SOUTH BEND |
State | IN |