The holder whose full name is NELSON, WALFRED A,come from GARY IN,hold the Physician license(NO.01012648A) which status is Expired Non-Renewable.
| Name | NELSON, WALFRED A |
|---|---|
| License Number | 01012648A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | GARY |
| State | IN |