The holder whose full name is JONTZ, RICHARD L,come from FORT WAYNE IN,hold the Physician license(NO.01017442A) which status is Expired Non-Renewable.
| Name | JONTZ, RICHARD L |
|---|---|
| License Number | 01017442A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT WAYNE |
| State | IN |