The holder whose full name is Schafer, Phillip E.,come from Joliet IL,hold the Medical Residency Permit license(NO.11015606A) which status is Superceded.
Name | Schafer, Phillip E. |
---|---|
License Number | 11015606A |
License Type | Medical Residency Permit |
License Status | Superceded |
City | Joliet |
State | IL |