The holder whose full name is LOPEZ, FILEMON PASION,come from CEDAR LAKE IN,hold the Physician license(NO.01020565A) which status is Expired Non-Renewable.
Name | LOPEZ, FILEMON PASION |
---|---|
License Number | 01020565A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CEDAR LAKE |
State | IN |