The holder whose full name is Balanoff, Brian William,come from Indianapolis IN,hold the Physician license(NO.01047392A) which status is Expired Non-Renewable.
| Name | Balanoff, Brian William |
|---|---|
| License Number | 01047392A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |