The holder whose full name is WIDEBURG, CHARLES ALLEN,come from CARMEL IN,hold the Physician license(NO.01035952A) which status is Expired Non-Renewable.
| Name | WIDEBURG, CHARLES ALLEN |
|---|---|
| License Number | 01035952A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CARMEL |
| State | IN |