The holder whose full name is LAWRENCE, LARRY CHARLES,come from BLOOMINGTON IN,hold the Physician license(NO.01037953A) which status is Expired Non-Renewable.
| Name | LAWRENCE, LARRY CHARLES |
|---|---|
| License Number | 01037953A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BLOOMINGTON |
| State | IN |