The holder whose full name is Genicoff, Alan,come from Greensburg IN,hold the Physician license(NO.01059122A) which status is Expired Non-Renewable.
| Name | Genicoff, Alan |
|---|---|
| License Number | 01059122A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Greensburg |
| State | IN |