The holder whose full name is EBERSOLE, CARL MORRIS,come from REDDING CA,hold the Physician license(NO.01016977A) which status is Expired Non-Renewable.
Name | EBERSOLE, CARL MORRIS |
---|---|
License Number | 01016977A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | REDDING |
State | CA |