The holder whose full name is HAYES, THEODORE R,come from MUNCIE IN,hold the Physician license(NO.01012290A) which status is Expired Non-Renewable.
| Name | HAYES, THEODORE R |
|---|---|
| License Number | 01012290A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MUNCIE |
| State | IN |