The holder whose full name is SCOTT, H VAUGHN,come from FORT WAYNE IN,hold the Physician license(NO.01012901A) which status is Expired Non-Renewable.
Name | SCOTT, H VAUGHN |
---|---|
License Number | 01012901A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | FORT WAYNE |
State | IN |