The holder whose full name is PAYNE, ARTHUR C,come from EAST CHICAGO IN,hold the Physician license(NO.01010918A) which status is Expired Non-Renewable.
Name | PAYNE, ARTHUR C |
---|---|
License Number | 01010918A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EAST CHICAGO |
State | IN |