The holder whose full name is GROTHOUSE JR, CARL B,come from KOKOMO IN,hold the Physician license(NO.01017194A) which status is Expired Non-Renewable.
| Name | GROTHOUSE JR, CARL B |
|---|---|
| License Number | 01017194A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | KOKOMO |
| State | IN |