The holder whose full name is IRVINE, WILLIAM ORVILLE,come from INDIANAPOLIS IN,hold the Physician license(NO.01019074A) which status is Expired Non-Renewable.
Name | IRVINE, WILLIAM ORVILLE |
---|---|
License Number | 01019074A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |