The holder whose full name is NOWACK, WILLIAM JACOB,come from Kansas City KS,hold the Physician license(NO.01029252A) which status is Expired Non-Renewable.
Name | NOWACK, WILLIAM JACOB |
---|---|
License Number | 01029252A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Kansas City |
State | KS |