The holder whose full name is WILGUS, CARRIE LYNN,come from GREENWOOD IN,hold the Physician license(NO.01047149A) which status is Expired Non-Renewable.
| Name | WILGUS, CARRIE LYNN |
|---|---|
| License Number | 01047149A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | GREENWOOD |
| State | IN |