The holder whose full name is JORDAN, CHARLES EARL,come from INDIANAPOLIS IN,hold the Physician license(NO.01025716A) which status is Expired Non-Renewable.
| Name | JORDAN, CHARLES EARL |
|---|---|
| License Number | 01025716A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |