The holder whose full name is LEE, JOHN WOOD,come from FORT WAYNE IN,hold the Physician license(NO.01017456A) which status is Expired Non-Renewable.
| Name | LEE, JOHN WOOD |
|---|---|
| License Number | 01017456A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT WAYNE |
| State | IN |