The holder whose full name is HOLWERDA, HARRY LEE,come from DEMOTTE IN,hold the Physician license(NO.01023770A) which status is Expired Non-Renewable.
Name | HOLWERDA, HARRY LEE |
---|---|
License Number | 01023770A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DEMOTTE |
State | IN |