The holder whose full name is SCOTT, IRVIN H,come from SULLIVAN IN,hold the Physician license(NO.01013063A) which status is Expired Non-Renewable.
| Name | SCOTT, IRVIN H |
|---|---|
| License Number | 01013063A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SULLIVAN |
| State | IN |