The holder whose full name is Houseworth, John Horace,come from Urbana IL,hold the Physician license(NO.01015242A) which status is Expired Non-Renewable.
Name | Houseworth, John Horace |
---|---|
License Number | 01015242A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Urbana |
State | IL |