The holder whose full name is MALOTT, FREDRICK R,come from LEESBURG IN,hold the Physician license(NO.01012483A) which status is Expired Non-Renewable.
| Name | MALOTT, FREDRICK R |
|---|---|
| License Number | 01012483A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LEESBURG |
| State | IN |