The holder whose full name is SIMMS, OTHO MONROE,come from INDIANAPOLIS IN,hold the Physician license(NO.01019264A) which status is Expired Non-Renewable.
Name | SIMMS, OTHO MONROE |
---|---|
License Number | 01019264A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |