The holder whose full name is BART, ALEX JOHN,come from LA GRANGE IL,hold the Physician license(NO.01039088A) which status is Expired Non-Renewable.
| Name | BART, ALEX JOHN |
|---|---|
| License Number | 01039088A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LA GRANGE |
| State | IL |