The holder whose full name is PRUIS, DIRK THOMAS,come from CINCINNATI OH,hold the Physician license(NO.01030414A) which status is Expired Non-Renewable.
| Name | PRUIS, DIRK THOMAS |
|---|---|
| License Number | 01030414A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CINCINNATI |
| State | OH |