The holder whose full name is Allen, Kristen E,come from Portage IN,hold the Physician license(NO.01060469A) which status is Expired Non-Renewable.
| Name | Allen, Kristen E |
|---|---|
| License Number | 01060469A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Portage |
| State | IN |