The holder whose full name is JOHNSON III, LENT C,come from INDIANAPOLIS IN,hold the Physician license(NO.01030129A) which status is Expired Non-Renewable.
Name | JOHNSON III, LENT C |
---|---|
License Number | 01030129A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |