The holder whose full name is POWELL, JERRY GUY,come from NOBLESVILLE IN,hold the Osteopathic Physician license(NO.02001041A) which status is Expired Non-Renewable.
Name | POWELL, JERRY GUY |
---|---|
License Number | 02001041A |
License Type | Osteopathic Physician |
License Status | Expired Non-Renewable |
City | NOBLESVILLE |
State | IN |