The holder whose full name is Martin, Allen S.,come from Goshen IN,hold the Physician license(NO.01020997A) which status is Expired Non-Renewable.
| Name | Martin, Allen S. |
|---|---|
| License Number | 01020997A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Goshen |
| State | IN |