The holder whose full name is Henry, Darryl L.,come from Columbia City IN,hold the Physician license(NO.01063685A) which status is Valid to Practice While Reviewed.
| Name | Henry, Darryl L. |
|---|---|
| License Number | 01063685A |
| License Type | Physician |
| License Status | Valid to Practice While Reviewed |
| City | Columbia City |
| State | IN |