The holder whose full name is SCHMIEDICKE, PAUL HENRY,come from WEST LAFAYETTE IN,hold the Physician license(NO.01013497A) which status is Expired Non-Renewable.
Name | SCHMIEDICKE, PAUL HENRY |
---|---|
License Number | 01013497A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WEST LAFAYETTE |
State | IN |