The holder whose full name is Lange, Daniel Paul,come from Williamsville IL,hold the Physician license(NO.01055760A) which status is Expired Non-Renewable.
| Name | Lange, Daniel Paul |
|---|---|
| License Number | 01055760A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Williamsville |
| State | IL |