The holder whose full name is BERGHAUSEN, EDWARD J,come from LOUISVILLE KY,hold the Physician license(NO.01034429A) which status is Expired Non-Renewable.
Name | BERGHAUSEN, EDWARD J |
---|---|
License Number | 01034429A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | LOUISVILLE |
State | KY |