The holder whose full name is FREY JR, HARLEY HARRISON,come from LAFAYETTE IN,hold the Physician license(NO.01015919A) which status is Expired Non-Renewable.
Name | FREY JR, HARLEY HARRISON |
---|---|
License Number | 01015919A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LAFAYETTE |
State | IN |