The holder whose full name is BARRON, TERESA GAYLE,come from LAFAYETTE IN,hold the Physician license(NO.01036956A) which status is Expired Non-Renewable.
Name | BARRON, TERESA GAYLE |
---|---|
License Number | 01036956A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LAFAYETTE |
State | IN |