The holder whose full name is Barter, Robert Fulton,come from ARCO ID,hold the Physician license(NO.01015207A) which status is Expired Non-Renewable.
| Name | Barter, Robert Fulton |
|---|---|
| License Number | 01015207A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | ARCO |
| State | ID |