The holder whose full name is Jacobs, Richard Terril,come from Notre Dame IN,hold the Physician license(NO.01061362A) which status is Expired Non-Renewable.
| Name | Jacobs, Richard Terril |
|---|---|
| License Number | 01061362A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Notre Dame |
| State | IN |