The holder whose full name is GINGERICK, CHARLES MARVIN,come from LIBERTY CENTER IN,hold the Physician license(NO.01012156A) which status is Expired Non-Renewable.
| Name | GINGERICK, CHARLES MARVIN |
|---|---|
| License Number | 01012156A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LIBERTY CENTER |
| State | IN |