The holder whose full name is EDWARDS, KATHERINE SUZANNE,come from SOUTH BEND IN,hold the Physician license(NO.01041664A) which status is Expired Non-Renewable.
| Name | EDWARDS, KATHERINE SUZANNE |
|---|---|
| License Number | 01041664A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SOUTH BEND |
| State | IN |