The holder whose full name is ULGADO, EDMUNDO S,come from CONNERSVILLE IN,hold the Physician license(NO.01023177A) which status is Expired Non-Renewable.
Name | ULGADO, EDMUNDO S |
---|---|
License Number | 01023177A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CONNERSVILLE |
State | IN |