The holder whose full name is SPRAGUE, CHARLES JOSEPH,come from KOKOMO IN,hold the Physician license(NO.01047356A) which status is Expired Non-Renewable.
| Name | SPRAGUE, CHARLES JOSEPH |
|---|---|
| License Number | 01047356A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | KOKOMO |
| State | IN |