The holder whose full name is KNODE, KENNETH THOMPSON,come from SOUTH BEND IN,hold the Physician license(NO.01011741A) which status is Expired Non-Renewable.
Name | KNODE, KENNETH THOMPSON |
---|---|
License Number | 01011741A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SOUTH BEND |
State | IN |