The holder whose full name is Klatch, Ben Zion,come from West Lafayette IN,hold the Physician license(NO.01016155A) which status is Expired Non-Renewable.
| Name | Klatch, Ben Zion |
|---|---|
| License Number | 01016155A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | West Lafayette |
| State | IN |