The holder whose full name is CARLBERG, DALE L,come from JEFFERSONVILLE IN,hold the Physician license(NO.01013727A) which status is Expired Non-Renewable.
Name | CARLBERG, DALE L |
---|---|
License Number | 01013727A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | JEFFERSONVILLE |
State | IN |