The holder whose full name is MORTON II, BERRY EZELL,come from INDIANAPOLIS IN,hold the Physician license(NO.01028984A) which status is Expired Non-Renewable.
Name | MORTON II, BERRY EZELL |
---|---|
License Number | 01028984A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDIANAPOLIS |
State | IN |