The holder whose full name is PRUDICH, WILLIAM,come from MONTCALM WV,hold the Physician license(NO.01016800A) which status is Expired Non-Renewable.
Name | PRUDICH, WILLIAM |
---|---|
License Number | 01016800A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | MONTCALM |
State | WV |