The holder whose full name is EGBERT, HERBERT L,come from INDIANAPOLIS IN,hold the Physician license(NO.01012779A) which status is Expired Non-Renewable.
| Name | EGBERT, HERBERT L |
|---|---|
| License Number | 01012779A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |