The holder whose full name is SCHACK, BRIAN WILLIAM,come from INDIANAPOLIS IN,hold the Physician license(NO.01047128A) which status is Expired Non-Renewable.
| Name | SCHACK, BRIAN WILLIAM |
|---|---|
| License Number | 01047128A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |