The holder whose full name is Havens, Alfred Lyle,come from Jeffersonville IN,hold the Physician license(NO.01016663A) which status is Expired Non-Renewable.
| Name | Havens, Alfred Lyle |
|---|---|
| License Number | 01016663A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Jeffersonville |
| State | IN |