The holder whose full name is CASTRO JR, IGNACIO B,come from SCOTTSBURG IN,hold the Physician license(NO.01019861A) which status is Expired Non-Renewable.
Name | CASTRO JR, IGNACIO B |
---|---|
License Number | 01019861A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | SCOTTSBURG |
State | IN |