The holder whose full name is LAFOLLETTE, FORREST R,come from LANSING IL,hold the Physician license(NO.01014026A) which status is Expired Non-Renewable.
| Name | LAFOLLETTE, FORREST R |
|---|---|
| License Number | 01014026A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LANSING |
| State | IL |