The holder whose full name is DANCEL, MANUEL T,come from SCOTTSBURG IN,hold the Physician license(NO.01023767A) which status is Expired Non-Renewable.
| Name | DANCEL, MANUEL T |
|---|---|
| License Number | 01023767A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SCOTTSBURG |
| State | IN |