The holder whose full name is Van De Riet, William G.,come from Bloomington IN,hold the Physicist - Health license(NO.XP002243) which status is Active.
| Name | Van De Riet, William G. |
|---|---|
| License Number | XP002243 |
| License Type | Physicist - Health |
| License Status | Active |
| City | Bloomington |
| State | IN |