The holder whose full name is Owens, Connie May,come from LOGANSPORT IN,hold the Physician license(NO.01036680A) which status is Inactive.
| Name | Owens, Connie May |
|---|---|
| License Number | 01036680A |
| License Type | Physician |
| License Status | Inactive |
| City | LOGANSPORT |
| State | IN |