The holder whose full name is EDMISTON, JOHN RICHARD,come from SPARTA GA,hold the Physician license(NO.01031610A) which status is Expired Non-Renewable.
| Name | EDMISTON, JOHN RICHARD |
|---|---|
| License Number | 01031610A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SPARTA |
| State | GA |