The holder whose full name is KINZER, LEROY DETRUDE,come from UPLAND IN,hold the Physician license(NO.01020258A) which status is Inactive/Expired.
| Name | KINZER, LEROY DETRUDE |
|---|---|
| License Number | 01020258A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | UPLAND |
| State | IN |