The holder whose full name is Motley, Charles F.,come from Chesterton IN,hold the Event Physician license(NO.PH04950002) which status is Expired Non-Renewable.
| Name | Motley, Charles F. |
|---|---|
| License Number | PH04950002 |
| License Type | Event Physician |
| License Status | Expired Non-Renewable |
| City | Chesterton |
| State | IN |