The holder whose full name is LEROY, ALVIN GRANT,come from ALEXANDRIA IN,hold the Physician license(NO.01016888A) which status is Expired Non-Renewable.
Name | LEROY, ALVIN GRANT |
---|---|
License Number | 01016888A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | ALEXANDRIA |
State | IN |