The holder whose full name is SCLAMBERG, EDWARD LAZARD,come from EVANSTON IL,hold the Physician license(NO.01020865A) which status is Expired Non-Renewable.
| Name | SCLAMBERG, EDWARD LAZARD |
|---|---|
| License Number | 01020865A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | EVANSTON |
| State | IL |