The holder whose full name is BABB JR, FORREST J,come from STOCKWELL IN,hold the Physician license(NO.01014600A) which status is Expired Non-Renewable.
| Name | BABB JR, FORREST J |
|---|---|
| License Number | 01014600A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | STOCKWELL |
| State | IN |