The holder whose full name is Fallah, Abraham,come from Homewood IL,hold the Physician license(NO.01053611A) which status is Expired Non-Renewable.
| Name | Fallah, Abraham |
|---|---|
| License Number | 01053611A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Homewood |
| State | IL |