The holder whose full name is EDMOND JR, CHARLES VERNON,come from TACOMA WA,hold the Medical Residency Permit license(NO.11005611A) which status is Expired.
| Name | EDMOND JR, CHARLES VERNON |
|---|---|
| License Number | 11005611A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | TACOMA |
| State | WA |