The holder whose full name is BLATT, A EBNER,come from INDIANAPOLIS IN,hold the Physician license(NO.01012441A) which status is Expired Non-Renewable.
| Name | BLATT, A EBNER |
|---|---|
| License Number | 01012441A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |