The holder whose full name is BERGHOFF, JAMES RAYMOND,come from FORT WAYNE IN,hold the Physician license(NO.01017613A) which status is Expired Non-Renewable.
| Name | BERGHOFF, JAMES RAYMOND |
|---|---|
| License Number | 01017613A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT WAYNE |
| State | IN |