The holder whose full name is BLOMBERG, DAVID J,come from DULUTH MN,hold the Physician license(NO.01031724A) which status is Expired Non-Renewable.
Name | BLOMBERG, DAVID J |
---|---|
License Number | 01031724A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | DULUTH |
State | MN |