The holder whose full name is NOVY, CHARLES AUGUST,come from GARRETT IN,hold the CSR-Physician license(NO.01016598B) which status is Expired.
| Name | NOVY, CHARLES AUGUST |
|---|---|
| License Number | 01016598B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | GARRETT |
| State | IN |