The holder whose full name is SWEARINGEN, ALFRED GRAHAM,come from FORT WAYNE IN,hold the Physician license(NO.01021940A) which status is Expired Non-Renewable.
Name | SWEARINGEN, ALFRED GRAHAM |
---|---|
License Number | 01021940A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | FORT WAYNE |
State | IN |