The holder whose full name is HORLANDER, FRIDOLIN SCOTT,come from CHARLESTOWN IN,hold the Physician license(NO.01020275A) which status is Expired Non-Renewable.
Name | HORLANDER, FRIDOLIN SCOTT |
---|---|
License Number | 01020275A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CHARLESTOWN |
State | IN |