The holder whose full name is Berryhill, Leroy K.,come from Fort Dodge IA,hold the Physician license(NO.01055212A) which status is Expired Non-Renewable.
Name | Berryhill, Leroy K. |
---|---|
License Number | 01055212A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Fort Dodge |
State | IA |