The holder whose full name is FREEMAN, DOUGLAS JACK,come from EDWARDSVILLE IL,hold the Physician license(NO.01046223A) which status is Expired Non-Renewable.
| Name | FREEMAN, DOUGLAS JACK |
|---|---|
| License Number | 01046223A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | EDWARDSVILLE |
| State | IL |