The holder whose full name is WAY, JAMES ALFRED,come from BLOOMINGTON IN,hold the Physician license(NO.01017788A) which status is Expired Non-Renewable.
| Name | WAY, JAMES ALFRED |
|---|---|
| License Number | 01017788A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BLOOMINGTON |
| State | IN |