The holder whose full name is BENNETT, DIETMAR H,come from PLAINFIELD IN,hold the Physician license(NO.01040188A) which status is Expired Non-Renewable.
| Name | BENNETT, DIETMAR H |
|---|---|
| License Number | 01040188A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PLAINFIELD |
| State | IN |