The holder whose full name is MANZANARES, AUSTACIO F,come from TERRE HAUTE IN,hold the Physician license(NO.01024181A) which status is Expired Non-Renewable.
Name | MANZANARES, AUSTACIO F |
---|---|
License Number | 01024181A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | TERRE HAUTE |
State | IN |