The holder whose full name is NOWACEK, CHARLES JAMES,come from GREENCASTLE IN,hold the Physician license(NO.01036224A) which status is Expired Non-Renewable.
Name | NOWACEK, CHARLES JAMES |
---|---|
License Number | 01036224A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | GREENCASTLE |
State | IN |