The holder whose full name is BARTHWELL, DAVID A,come from RIVER FOREST IL,hold the Physician license(NO.01029929A) which status is Expired Non-Renewable.
Name | BARTHWELL, DAVID A |
---|---|
License Number | 01029929A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | RIVER FOREST |
State | IL |