The holder whose full name is Herendeen, Thomas Lee,come from Fort Wayne IN,hold the Physician license(NO.01019434A) which status is Expired Non-Renewable.
| Name | Herendeen, Thomas Lee |
|---|---|
| License Number | 01019434A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Fort Wayne |
| State | IN |