The holder whose full name is OWEN, JOHN ELBA,come from CARMEL IN,hold the Physician license(NO.01010870A) which status is Expired Non-Renewable.
| Name | OWEN, JOHN ELBA |
|---|---|
| License Number | 01010870A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CARMEL |
| State | IN |