The holder whose full name is Kencos, Antigoni,come from SCHERERVILLE IN,hold the Physician license(NO.01031586A) which status is Expired Non-Renewable.
Name | Kencos, Antigoni |
---|---|
License Number | 01031586A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SCHERERVILLE |
State | IN |