The holder whose full name is SHORT, HOWARD WENDELL,come from RACINE WI,hold the Physician license(NO.01021886A) which status is Expired Non-Renewable.
| Name | SHORT, HOWARD WENDELL |
|---|---|
| License Number | 01021886A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | RACINE |
| State | WI |