The holder whose full name is Cull, Charles Cody,come from Lagrange IN,hold the Physician Assistant license(NO.10000185A) which status is Expired.
| Name | Cull, Charles Cody |
|---|---|
| License Number | 10000185A |
| License Type | Physician Assistant |
| License Status | Expired |
| City | Lagrange |
| State | IN |