The holder whose full name is MOYNIHAN, HARRY LAWRENCE,come from SELMA IN,hold the Physician license(NO.01040503A) which status is Active.
| Name | MOYNIHAN, HARRY LAWRENCE |
|---|---|
| License Number | 01040503A |
| License Type | Physician |
| License Status | Active |
| City | SELMA |
| State | IN |