The holder whose full name is O NEILL, FREDRIC JOHN,come from OSWEGO NY,hold the Physician license(NO.01042469A) which status is Expired Non-Renewable.
Name | O NEILL, FREDRIC JOHN |
---|---|
License Number | 01042469A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | OSWEGO |
State | NY |