The holder whose full name is LEVINE, LAWRENCE M,come from TERRE HAUTE IN,hold the Medical Residency Permit license(NO.11006006A) which status is Expired.
| Name | LEVINE, LAWRENCE M |
|---|---|
| License Number | 11006006A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |