The holder whose full name is HAIM, DAVID,come from INDPENDENCE IA,hold the Physician license(NO.01021651A) which status is Expired Non-Renewable.
Name | HAIM, DAVID |
---|---|
License Number | 01021651A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | INDPENDENCE |
State | IA |