The holder whose full name is MAGALLON, DOROTHY THARP,come from NEW ALBANY IN,hold the Physician license(NO.01039010A) which status is Expired Non-Renewable.
Name | MAGALLON, DOROTHY THARP |
---|---|
License Number | 01039010A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | NEW ALBANY |
State | IN |