The holder whose full name is GERGESHA, EDWARD ALEX,come from ELKHART IN,hold the Physician license(NO.01020789A) which status is Expired Non-Renewable.
| Name | GERGESHA, EDWARD ALEX |
|---|---|
| License Number | 01020789A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | ELKHART |
| State | IN |