The holder whose full name is DAVIS, CARL M,come from VALPARAISO IN,hold the Physician license(NO.01011802A) which status is Expired Non-Renewable.
| Name | DAVIS, CARL M |
|---|---|
| License Number | 01011802A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | VALPARAISO |
| State | IN |