The holder whose full name is HARLESS, O FRED,come from MONROEVILLE IN,hold the Physician license(NO.01016476A) which status is Expired Non-Renewable.
| Name | HARLESS, O FRED |
|---|---|
| License Number | 01016476A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MONROEVILLE |
| State | IN |