The holder whose full name is DUNLAP, D LOGAN,come from SOUTH BEND IN,hold the Physician license(NO.01015007A) which status is Expired Non-Renewable.
Name | DUNLAP, D LOGAN |
---|---|
License Number | 01015007A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SOUTH BEND |
State | IN |