The holder whose full name is POOLITSAN, GEORGE C,come from BLOOMINGTON IN,hold the Physician license(NO.01014978A) which status is Expired Non-Renewable.
Name | POOLITSAN, GEORGE C |
---|---|
License Number | 01014978A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | BLOOMINGTON |
State | IN |