The holder whose full name is MIKS, GEORGE MARTIN,come from CHISHOLM MN,hold the Physician license(NO.01035050A) which status is Expired Non-Renewable.
Name | MIKS, GEORGE MARTIN |
---|---|
License Number | 01035050A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | CHISHOLM |
State | MN |