The holder whose full name is PRICE, MICHAEL LESTER,come from BEECH GROVE IN,hold the Physician license(NO.01042558A) which status is Expired Non-Renewable.
Name | PRICE, MICHAEL LESTER |
---|---|
License Number | 01042558A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BEECH GROVE |
State | IN |