The holder whose full name is Henry, Alvin L.,come from COLUMBUS IN,hold the Physician license(NO.01014630A) which status is Expired Non-Renewable.
| Name | Henry, Alvin L. |
|---|---|
| License Number | 01014630A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | COLUMBUS |
| State | IN |