The holder whose full name is KNUDSON, JOHN ALFRED,come from BEECH GROVE IN,hold the Physician license(NO.01039440A) which status is Expired Non-Renewable.
Name | KNUDSON, JOHN ALFRED |
---|---|
License Number | 01039440A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BEECH GROVE |
State | IN |