The holder whose full name is MACDONELL, ELDRED HUGH,come from SOUTH BEND IN,hold the Physician license(NO.01019265A) which status is Expired Non-Renewable.
Name | MACDONELL, ELDRED HUGH |
---|---|
License Number | 01019265A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SOUTH BEND |
State | IN |