The holder whose full name is BIRDSELL, JOHN EDMUND,come from SHREVEPORT LA,hold the Physician license(NO.01016567A) which status is Expired Non-Renewable.
| Name | BIRDSELL, JOHN EDMUND |
|---|---|
| License Number | 01016567A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SHREVEPORT |
| State | LA |