The holder whose full name is HOUGH, BLAIR KENT,come from HOWE IN,hold the Physician license(NO.01039864A) which status is Expired Non-Renewable.
| Name | HOUGH, BLAIR KENT |
|---|---|
| License Number | 01039864A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | HOWE |
| State | IN |