The holder whose full name is Plank, Charles Robert,come from BLOOMINGTON IN,hold the Physician license(NO.01014360A) which status is Expired Non-Renewable.
| Name | Plank, Charles Robert |
|---|---|
| License Number | 01014360A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BLOOMINGTON |
| State | IN |