The holder whose full name is WILLIAMS, BERNIECE M,come from FORT WAYNE IN,hold the Physician license(NO.01012492A) which status is Expired Non-Renewable.
| Name | WILLIAMS, BERNIECE M |
|---|---|
| License Number | 01012492A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT WAYNE |
| State | IN |