The holder whose full name is LANDIS, LOREN ANTHONY,come from PUTNEY VT,hold the Physician license(NO.01044935A) which status is Expired Non-Renewable.
| Name | LANDIS, LOREN ANTHONY |
|---|---|
| License Number | 01044935A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PUTNEY |
| State | VT |