The holder whose full name is LISS, EMANUEL C,come from Mishawaka IN,hold the Physician license(NO.01014583A) which status is Expired Non-Renewable.
| Name | LISS, EMANUEL C |
|---|---|
| License Number | 01014583A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Mishawaka |
| State | IN |