The holder whose full name is Wirtz, Patrick Michael,come from Indianapolis IN,hold the Physician license(NO.01064545A) which status is Expired Non-Renewable.
| Name | Wirtz, Patrick Michael |
|---|---|
| License Number | 01064545A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |