The holder whose full name is IVEY, DAVID MERRILL,come from Mishawaka IN,hold the Physician license(NO.01019902A) which status is Inactive/Expired.
| Name | IVEY, DAVID MERRILL |
|---|---|
| License Number | 01019902A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | Mishawaka |
| State | IN |