The holder whose full name is DEJESUS JR, JOSE R,come from PLYMOUTH IN,hold the Physician license(NO.01022136A) which status is Expired Non-Renewable.
| Name | DEJESUS JR, JOSE R |
|---|---|
| License Number | 01022136A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PLYMOUTH |
| State | IN |