The holder whose full name is Jara, Cesar Antonio,come from Valparaiso IN,hold the Physician license(NO.01051588A) which status is Expired Non-Renewable.
| Name | Jara, Cesar Antonio |
|---|---|
| License Number | 01051588A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Valparaiso |
| State | IN |