The holder whose full name is Betts, Eric Jay,come from Portland IN,hold the Medical Residency Permit license(NO.11009101A) which status is Expired.
| Name | Betts, Eric Jay |
|---|---|
| License Number | 11009101A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Portland |
| State | IN |