The holder whose full name is HOLLADAY, CLINTON THOMAS,come from INDIANAPOLIS IN,hold the Physician license(NO.01040830A) which status is Expired Non-Renewable.
Name | HOLLADAY, CLINTON THOMAS |
---|---|
License Number | 01040830A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |