The holder whose full name is GREENBAUM, ALAN A,come from INDIANAPOLIS IN,hold the Physician license(NO.01025005A) which status is Expired Non-Renewable.
Name | GREENBAUM, ALAN A |
---|---|
License Number | 01025005A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |