The holder whose full name is SHANKLIN, JACK LESLIE,come from VINCENNES IN,hold the Physician license(NO.01017491A) which status is Expired Non-Renewable.
| Name | SHANKLIN, JACK LESLIE |
|---|---|
| License Number | 01017491A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | VINCENNES |
| State | IN |