The holder whose full name is Shank, John Raymond,come from Terre Haute IN,hold the Physician license(NO.01060303A) which status is Expired Non-Renewable.
| Name | Shank, John Raymond |
|---|---|
| License Number | 01060303A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Terre Haute |
| State | IN |