The holder whose full name is ECKBERG, THEODORE JOHN,come from SHERMAN OAKS CA,hold the Physician license(NO.01018881A) which status is Inactive.
| Name | ECKBERG, THEODORE JOHN |
|---|---|
| License Number | 01018881A |
| License Type | Physician |
| License Status | Inactive |
| City | SHERMAN OAKS |
| State | CA |