The holder whose full name is LANGSAM, CHARLES LEWIS,come from ATLANTA GA,hold the Physician license(NO.01020948A) which status is Expired Non-Renewable.
Name | LANGSAM, CHARLES LEWIS |
---|---|
License Number | 01020948A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | ATLANTA |
State | GA |