The holder whose full name is KENYON, CHARLES EMIL,come from CAMBRIDGE CITY IN,hold the Physician license(NO.01011383A) which status is Expired Non-Renewable.
Name | KENYON, CHARLES EMIL |
---|---|
License Number | 01011383A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CAMBRIDGE CITY |
State | IN |