The holder whose full name is AMSTUTZ, H CLAIR,come from GOSHEN IN,hold the Physician license(NO.01013159A) which status is Expired Non-Renewable.
Name | AMSTUTZ, H CLAIR |
---|---|
License Number | 01013159A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | GOSHEN |
State | IN |