The holder whose full name is Davalle, Michael J,come from Munster IN,hold the Physician license(NO.01055379A) which status is Expired Non-Renewable.
| Name | Davalle, Michael J |
|---|---|
| License Number | 01055379A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Munster |
| State | IN |