The holder whose full name is Goodwin, Charles Jeffery,come from Jeffersonville IN,hold the Medical Residency Permit license(NO.11011267A) which status is Superceded.
| Name | Goodwin, Charles Jeffery |
|---|---|
| License Number | 11011267A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Jeffersonville |
| State | IN |