The holder whose full name is Debelak, Benjamin P,come from Lansing MI,hold the Medical Residency Permit license(NO.11014671A) which status is Expired.
| Name | Debelak, Benjamin P |
|---|---|
| License Number | 11014671A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Lansing |
| State | MI |