The holder whose full name is SPILL, IRA LOUIS,come from INDIANAPOLIS IN,hold the Physician license(NO.01029740A) which status is Expired Non-Renewable.
Name | SPILL, IRA LOUIS |
---|---|
License Number | 01029740A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |