The holder whose full name is Fark, Alan Richard,come from Manistee MI,hold the Physician license(NO.01068741A) which status is Expired Non-Renewable.
| Name | Fark, Alan Richard |
|---|---|
| License Number | 01068741A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Manistee |
| State | MI |