The holder whose full name is ALFARAZ, CARLOS RODOLFO,come from Michigan City IN,hold the Physician license(NO.01039703A) which status is Expired Non-Renewable.
Name | ALFARAZ, CARLOS RODOLFO |
---|---|
License Number | 01039703A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Michigan City |
State | IN |