The holder whose full name is RUTHERFORD, CHARLES E,come from WEST LAFAYETTE IN,hold the Physician license(NO.01016541A) which status is Expired Non-Renewable.
Name | RUTHERFORD, CHARLES E |
---|---|
License Number | 01016541A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WEST LAFAYETTE |
State | IN |