The holder whose full name is NICE, MARVIN L,come from WINAMAC IN,hold the Physician license(NO.01022283A) which status is Expired Non-Renewable.
| Name | NICE, MARVIN L |
|---|---|
| License Number | 01022283A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WINAMAC |
| State | IN |