The holder whose full name is PLOETNER, EDWARD JOSEPH,come from JASPER IN,hold the Physician license(NO.01016612A) which status is Expired Non-Renewable.
| Name | PLOETNER, EDWARD JOSEPH |
|---|---|
| License Number | 01016612A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | JASPER |
| State | IN |