The holder whose full name is ASCONAPE, JORGE JUAN,come from INDIANAPOLIS IN,hold the Physician license(NO.01046257A) which status is Expired Non-Renewable.
| Name | ASCONAPE, JORGE JUAN |
|---|---|
| License Number | 01046257A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |