The holder whose full name is TANANIS, ANTHONY ADAM,come from CARMEL IN,hold the Physician license(NO.01032259A) which status is Expired Non-Renewable.
| Name | TANANIS, ANTHONY ADAM |
|---|---|
| License Number | 01032259A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CARMEL |
| State | IN |