The holder whose full name is Payne, William Thomas,come from Indianapolis IN,hold the Physician license(NO.01066253A) which status is Expired Non-Renewable.
| Name | Payne, William Thomas |
|---|---|
| License Number | 01066253A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |