The holder whose full name is Modlin, Charles Stanley,come from Cleveland OH,hold the Physician license(NO.01067902A) which status is Expired Non-Renewable.
| Name | Modlin, Charles Stanley |
|---|---|
| License Number | 01067902A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Cleveland |
| State | OH |