The holder whose full name is Harris, Charles Robert,come from New Lenox IL,hold the Physician license(NO.01067206A) which status is Expired Non-Renewable.
| Name | Harris, Charles Robert |
|---|---|
| License Number | 01067206A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | New Lenox |
| State | IL |