The holder whose full name is UPDIKE, JAN CHARLES,come from BOULDER CO,hold the Physician license(NO.01036753A) which status is Expired Non-Renewable.
| Name | UPDIKE, JAN CHARLES |
|---|---|
| License Number | 01036753A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BOULDER |
| State | CO |