The holder whose full name is LOUX, HOLLY ANN,come from INDIANAPOLIS IN,hold the Physician license(NO.01042783A) which status is Expired Non-Renewable.
Name | LOUX, HOLLY ANN |
---|---|
License Number | 01042783A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |