The holder whose full name is Fogel, Earnest James,come from Santa Claus IN,hold the Physician license(NO.01018280A) which status is Expired Non-Renewable.
| Name | Fogel, Earnest James |
|---|---|
| License Number | 01018280A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Santa Claus |
| State | IN |