The holder whose full name is WAITKUS, JOHN PETER,come from GARY IN,hold the Physician license(NO.01015808A) which status is Expired Non-Renewable.
Name | WAITKUS, JOHN PETER |
---|---|
License Number | 01015808A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | GARY |
State | IN |