The holder whose full name is PONTIUS, EDWIN EUGENE,come from INDIANAPOLIS IN,hold the Physician license(NO.01015265A) which status is Expired Non-Renewable.
| Name | PONTIUS, EDWIN EUGENE |
|---|---|
| License Number | 01015265A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |