The holder whose full name is Lopez, Efren Raul,come from Vincennes IN,hold the Physician license(NO.01022244A) which status is Expired Non-Renewable.
| Name | Lopez, Efren Raul |
|---|---|
| License Number | 01022244A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Vincennes |
| State | IN |