The holder whose full name is LORD, GLENN C,come from INDIANAPOLIS IN,hold the Physician license(NO.01011515A) which status is Expired Non-Renewable.
| Name | LORD, GLENN C |
|---|---|
| License Number | 01011515A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |