The holder whose full name is KIDMAN, HOWARD LEONARD,come from BEECH GROVE IN,hold the Physician license(NO.01028235A) which status is Expired Non-Renewable.
Name | KIDMAN, HOWARD LEONARD |
---|---|
License Number | 01028235A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BEECH GROVE |
State | IN |