The holder whose full name is Jordan, Lee G.,come from INDIANAPOLIS IN,hold the Physician license(NO.01024406A) which status is Expired Non-Renewable.
| Name | Jordan, Lee G. |
|---|---|
| License Number | 01024406A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |