The holder whose full name is SMITH, DAVID JOSEPH,come from OAK LAWN IL,hold the Physician license(NO.01035859A) which status is Expired Non-Renewable.
Name | SMITH, DAVID JOSEPH |
---|---|
License Number | 01035859A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | OAK LAWN |
State | IL |