The holder whose full name is Shaenboen, Michael Jack,come from Flossmoor IL,hold the Osteopathic Physician license(NO.02002136A) which status is Expired Non-Renewable.
| Name | Shaenboen, Michael Jack |
|---|---|
| License Number | 02002136A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | Flossmoor |
| State | IL |