The holder whose full name is PETERS JR, CARL WADE,come from AUSTIN TX,hold the Physician license(NO.01029254A) which status is Expired Non-Renewable.
Name | PETERS JR, CARL WADE |
---|---|
License Number | 01029254A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | AUSTIN |
State | TX |