The holder whose full name is Deschamps, Domenico Jose,come from Merrillville IN,hold the Physician license(NO.01022994A) which status is Expired Non-Renewable.
| Name | Deschamps, Domenico Jose |
|---|---|
| License Number | 01022994A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Merrillville |
| State | IN |