The holder whose full name is HARMON, LANCE MCKAY,come from Granger IN,hold the Physician license(NO.01053010A) which status is Expired Non-Renewable.
Name | HARMON, LANCE MCKAY |
---|---|
License Number | 01053010A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Granger |
State | IN |