The holder whose full name is JOHN, KOZHIMALA THOMAS,come from WINAMAC IN,hold the Physician license(NO.01026120A) which status is Expired Non-Renewable.
| Name | JOHN, KOZHIMALA THOMAS |
|---|---|
| License Number | 01026120A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WINAMAC |
| State | IN |