The holder whose full name is King, J. Theodore,come from Oakbrook Terrace IL,hold the Physician license(NO.01031274A) which status is Expired Non-Renewable.
Name | King, J. Theodore |
---|---|
License Number | 01031274A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Oakbrook Terrace |
State | IL |