The holder whose full name is SHAFER, MARION R,come from INDIANAPOLIS IN,hold the Physician license(NO.01012903A) which status is Expired Non-Renewable.
| Name | SHAFER, MARION R |
|---|---|
| License Number | 01012903A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |