The holder whose full name is SUHS, EDWIN PAUL,come from EAST CHICAGO IN,hold the Physician license(NO.01029759A) which status is Expired Non-Renewable.
Name | SUHS, EDWIN PAUL |
---|---|
License Number | 01029759A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EAST CHICAGO |
State | IN |