The holder whose full name is Spivak, Dana,come from Longmeadow MA,hold the Physician license(NO.01056634A) which status is Expired Non-Renewable.
| Name | Spivak, Dana |
|---|---|
| License Number | 01056634A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Longmeadow |
| State | MA |