The holder whose full name is Habbe, Timothy Alan,come from Bloomington IN,hold the Physician license(NO.01021163A) which status is Probation/Expired.
| Name | Habbe, Timothy Alan |
|---|---|
| License Number | 01021163A |
| License Type | Physician |
| License Status | Probation/Expired |
| City | Bloomington |
| State | IN |