The holder whose full name is DETTLOFF, FREDERICK R,come from GREENCASTLE IN,hold the Physician license(NO.01013253A) which status is Expired Non-Renewable.
| Name | DETTLOFF, FREDERICK R |
|---|---|
| License Number | 01013253A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | GREENCASTLE |
| State | IN |