The holder whose full name is LUDVIGSEN, CARL W,come from Paxton MA,hold the Physician license(NO.01051605A) which status is Expired Non-Renewable.
Name | LUDVIGSEN, CARL W |
---|---|
License Number | 01051605A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Paxton |
State | MA |