The holder whose full name is TORRES, JUAN CARLOS,come from PORTAGE IN,hold the Physician license(NO.01046833A) which status is Expired Non-Renewable.
| Name | TORRES, JUAN CARLOS |
|---|---|
| License Number | 01046833A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PORTAGE |
| State | IN |