The holder whose full name is GRANNEMANN, HARRY NEAL,come from MUNCIE IN,hold the Physician license(NO.01024094A) which status is Expired Non-Renewable.
Name | GRANNEMANN, HARRY NEAL |
---|---|
License Number | 01024094A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | MUNCIE |
State | IN |