The holder whose full name is MC CALLA III, CHARLES X,come from PAOLI IN,hold the Physician license(NO.01018075A) which status is Expired Non-Renewable.
Name | MC CALLA III, CHARLES X |
---|---|
License Number | 01018075A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | PAOLI |
State | IN |