The holder whose full name is ARATA, LUCIAN ALPHONSUS,come from SHELBYVILLE IN,hold the Physician license(NO.01017664A) which status is Expired Non-Renewable.
Name | ARATA, LUCIAN ALPHONSUS |
---|---|
License Number | 01017664A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SHELBYVILLE |
State | IN |