The holder whose full name is BANS, LARRY LOUIS,come from INDIANAPOLIS IN,hold the Physician license(NO.01029998A) which status is Expired Non-Renewable.
| Name | BANS, LARRY LOUIS |
|---|---|
| License Number | 01029998A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |