The holder whose full name is CARTER, MELINDA RUTH,come from ROCKFORD IL,hold the Physician license(NO.01040061A) which status is Expired Non-Renewable.
Name | CARTER, MELINDA RUTH |
---|---|
License Number | 01040061A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | ROCKFORD |
State | IL |