The holder whose full name is Moswin, Jack A.,come from Merrillville IN,hold the Physician license(NO.01015789A) which status is Expired Non-Renewable.
| Name | Moswin, Jack A. |
|---|---|
| License Number | 01015789A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Merrillville |
| State | IN |