The holder whose full name is Keenan, George Bryan,come from Nineveh IN,hold the Physician license(NO.01016768A) which status is Suspended.
| Name | Keenan, George Bryan |
|---|---|
| License Number | 01016768A |
| License Type | Physician |
| License Status | Suspended |
| City | Nineveh |
| State | IN |