The holder whose full name is Wentland, Thomas Peter,come from Belvidere IL,hold the Physician license(NO.01051155A) which status is Expired Non-Renewable.
| Name | Wentland, Thomas Peter |
|---|---|
| License Number | 01051155A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Belvidere |
| State | IL |