The holder whose full name is LONGSTAFF, JOHN PASCHAL,come from NEWBURGH IN,hold the Physician license(NO.01020338A) which status is Expired Non-Renewable.
Name | LONGSTAFF, JOHN PASCHAL |
---|---|
License Number | 01020338A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | NEWBURGH |
State | IN |