The holder whose full name is PORTER, MARK ALAN,come from Fort Wayne IN,hold the Physician license(NO.01032472A) which status is Expired Non-Renewable.
| Name | PORTER, MARK ALAN |
|---|---|
| License Number | 01032472A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Fort Wayne |
| State | IN |