The holder whose full name is Lutz, Daniel Joseph,come from Indianapolis IN,hold the Physician license(NO.01063804A) which status is Expired Non-Renewable.
| Name | Lutz, Daniel Joseph |
|---|---|
| License Number | 01063804A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |