The holder whose full name is HARTER, ELI BLAIR,come from LAFAYETTE IN,hold the Physician license(NO.01012976A) which status is Expired Non-Renewable.
| Name | HARTER, ELI BLAIR |
|---|---|
| License Number | 01012976A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LAFAYETTE |
| State | IN |