The holder whose full name is CLEMENS III, CHARLES W,come from URBANA IL,hold the Physician license(NO.01022981A) which status is Expired Non-Renewable.
Name | CLEMENS III, CHARLES W |
---|---|
License Number | 01022981A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | URBANA |
State | IL |