The holder whose full name is PORTER, DALE ORVIL,come from DAYTON OH,hold the Physician license(NO.01016658A) which status is Expired Non-Renewable.
Name | PORTER, DALE ORVIL |
---|---|
License Number | 01016658A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DAYTON |
State | OH |