The holder whose full name is JEANTY, MAXENCE,come from Logansport IN,hold the Physician license(NO.01035516A) which status is Expired Non-Renewable.
| Name | JEANTY, MAXENCE |
|---|---|
| License Number | 01035516A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Logansport |
| State | IN |