The holder whose full name is JENDUSA, DAVID JAMES,come from MILWAUKEE WI,hold the Physician license(NO.01040083A) which status is Expired Non-Renewable.
Name | JENDUSA, DAVID JAMES |
---|---|
License Number | 01040083A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | MILWAUKEE |
State | WI |