The holder whose full name is PROPHETE, GUY E,come from MUNCIE IN,hold the Medical Residency Permit license(NO.11004969A) which status is Expired.
| Name | PROPHETE, GUY E |
|---|---|
| License Number | 11004969A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | MUNCIE |
| State | IN |