The holder whose full name is STOUT JR, HARRY T,come from FRANKFORT IN,hold the Physician license(NO.01015103A) which status is Expired Non-Renewable.
Name | STOUT JR, HARRY T |
---|---|
License Number | 01015103A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | FRANKFORT |
State | IN |