The holder whose full name is LONGNECKER, LANCE E,come from DES MOINES IA,hold the Physician license(NO.01019791A) which status is Expired Non-Renewable.
| Name | LONGNECKER, LANCE E |
|---|---|
| License Number | 01019791A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | DES MOINES |
| State | IA |