The holder whose full name is BERGHAUSEN, EDWARD J,come from CINCINNATI OH,hold the Physician license(NO.01042938A) which status is Expired Non-Renewable.
Name | BERGHAUSEN, EDWARD J |
---|---|
License Number | 01042938A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CINCINNATI |
State | OH |