The holder whose full name is MORSTAD, ALTA SUZANNE,come from EVANSVILLE IN,hold the Physician license(NO.01037625A) which status is Expired Non-Renewable.
Name | MORSTAD, ALTA SUZANNE |
---|---|
License Number | 01037625A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | EVANSVILLE |
State | IN |