The holder whose full name is Smith, Garry Lee,come from Long Beach IN,hold the Physician license(NO.01041716A) which status is Expired Non-Renewable.
| Name | Smith, Garry Lee |
|---|---|
| License Number | 01041716A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Long Beach |
| State | IN |