The holder whose full name is Carlson, Ingrid Aufderheide,come from Colorado Springs CO,hold the Physician license(NO.01040451A) which status is Expired Non-Renewable.
Name | Carlson, Ingrid Aufderheide |
---|---|
License Number | 01040451A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Colorado Springs |
State | CO |