The holder whose full name is Ybanez, Manuel Saile,come from Charlestown IN,hold the Physician license(NO.01065372A) which status is Expired Non-Renewable.
| Name | Ybanez, Manuel Saile |
|---|---|
| License Number | 01065372A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Charlestown |
| State | IN |