The holder whose full name is MC NAMARA, EDWARD WILLIAM,come from CEDAR LAKE IN,hold the Physician license(NO.01018483A) which status is Expired Non-Renewable.
Name | MC NAMARA, EDWARD WILLIAM |
---|---|
License Number | 01018483A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CEDAR LAKE |
State | IN |