The holder whose full name is McIntosh, Jeffrey Brian,come from Lafayette IN,hold the Physician license(NO.01038642A) which status is Expired Non-Renewable.
| Name | McIntosh, Jeffrey Brian |
|---|---|
| License Number | 01038642A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lafayette |
| State | IN |