The holder whose full name is MENSCH, JAMES RICHARD,come from FORT WAYNE IN,hold the Physician license(NO.01016230A) which status is Expired Non-Renewable.
Name | MENSCH, JAMES RICHARD |
---|---|
License Number | 01016230A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | FORT WAYNE |
State | IN |