The holder whose full name is ENTNER, CHARLES LEROY,come from DUNKIRK IN,hold the Physician license(NO.01014273A) which status is Expired Non-Renewable.
Name | ENTNER, CHARLES LEROY |
---|---|
License Number | 01014273A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DUNKIRK |
State | IN |