The holder whose full name is Ruben, Ethan Baruch,come from PISGAH AL,hold the Physician license(NO.01065195A) which status is Expired Non-Renewable.
| Name | Ruben, Ethan Baruch |
|---|---|
| License Number | 01065195A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PISGAH |
| State | AL |