The holder whose full name is White, Charles Fredrick,come from Glendale AZ,hold the Physician license(NO.01025209A) which status is Expired Non-Renewable.
| Name | White, Charles Fredrick |
|---|---|
| License Number | 01025209A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Glendale |
| State | AZ |