The holder whose full name is Coats, Charles Leroy,come from Fort Wayne IN,hold the Medical Residency Permit license(NO.11009689A) which status is Expired.
| Name | Coats, Charles Leroy |
|---|---|
| License Number | 11009689A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |