The holder whose full name is Scott, Clinton Herwin,come from South Bend IN,hold the Podiatrist Temporary Permit license(NO.99013680A) which status is Superceded.
Name | Scott, Clinton Herwin |
---|---|
License Number | 99013680A |
License Type | Podiatrist Temporary Permit |
License Status | Superceded |
City | South Bend |
State | IN |